MEDICARE: MS. RHEA A SIMMONS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	5094	OK
2	101YM0800X	Mental Health Counselor	178003852	IL

General Provider Information

NPI Number	:	1588933063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RHEA A SIMMONS LPC

Provider Business Mailing Address
First Line	:	6608 N WESTERN AVE # 3366
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-7326
Country	:	US
Telephone Number	:	405-498-2256
Fax Number	:

Provider Business Practice Location Address
First Line	:	6608 N WESTERN AVE # 1568
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-7326
Country	:	US
Telephone Number	:	405-498-2256
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2011
Last Update Date	:	08/29/2025

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