Healthcare Provider Details

I. General information

NPI: 1174089551
Provider Name (Legal Business Name): PATRICIA SIMMONS LMHC, NBCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2019
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4923 LINCOLN WAY STE 102
AMES IA
50014-3616
US

IV. Provider business mailing address

1534 LINDEN DR
AMES IA
50010-5534
US

V. Phone/Fax

Practice location:
  • Phone: 515-375-0638
  • Fax: 515-288-5939
Mailing address:
  • Phone: 515-375-0638
  • Fax: 515-288-5939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number094836
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: