MEDICARE: ELASHA SIMONTON MS, 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	59738	TX

General Provider Information

NPI Number	:	1972330090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELASHA SIMONTON MS, LPC

Provider Business Mailing Address
First Line	:	4120 SHANNON DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-8042
Country	:	US
Telephone Number	:	817-522-2566
Fax Number	:

Provider Business Practice Location Address
First Line	:	4120 SHANNON DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-8042
Country	:	US
Telephone Number	:	817-522-2566
Fax Number	:

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

Provider Enumeration Date	:	09/14/2024
Last Update Date	:	09/14/2024

Similar Medicare Providers

1497355820 — MARTHA GWEN BENSON
Practice Location Address:

8600 HIGHWAY 71 S
FORT SMITH, AR
72908-8042

Practice Phone: 479-289-6898
Practice Fax:

1558741611 — WALMART INC.
Practice Location Address:

8600 HIGHWAY 71 S
FORT SMITH, AR
72908-8042

Practice Phone: 479-289-6898
Practice Fax: 479-289-6901

1588177687 — PORSHA BOWEN
Practice Location Address:

1864 PELICAN DR # A2
FORT PIERCE, FL
34982-8042

Practice Phone: 973-727-1394
Practice Fax:

1558963249 — ASHLEY EVANS
Practice Location Address:

8600 HIGHWAY 71 S
FORT SMITH, AR
72908-8042

Practice Phone: 479-289-6898
Practice Fax:

1215539804 — JACOB COFFMAN
Practice Location Address:

8600 HIGHWAY 71 S # SS
FORT SMITH, AR
72908-8042

Practice Phone: 479-289-6898
Practice Fax:

1790404978 — TAVIN NGUYEN PHARMD
Practice Location Address:

8600 HIGHWAY 71 S
FORT SMITH, AR
72908-8042

Practice Phone: 479-289-6898
Practice Fax:

Directions to “ ELASHA SIMONTON MS, LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.