Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GWEN S. SIMMONS, ED.D., LPC, NBC, MAC
Active Sole ProprietorDR. GWEN S. SIMMONS, ED.D., LPC, NBC, MAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in VASS, North Carolina. NPI 1417072398 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · VASS, NC
Registration Details
- NPI Number
- 1417072398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2007 (19.381962535849 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
CCAS 104 (NC)LPC 2013 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
867 CASTLEBERRY CTVASS, NC, 283948306Browse NC providers · Browse ZIP 28394
- Phone
- 9102452580
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.