Provider Demographics
NPI:1457393977
Name:SIMMONS, JOAN E (LMHP)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:E
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:E
Other - Last Name:SABO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 168
Mailing Address - Street 2:422 N. HASTINGS, SUITE #206
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68902-0168
Mailing Address - Country:US
Mailing Address - Phone:402-984-3237
Mailing Address - Fax:402-461-3708
Practice Address - Street 1:422 N HASTINGS AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-5107
Practice Address - Country:US
Practice Address - Phone:402-984-3237
Practice Address - Fax:402-461-3708
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1387101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100252261-00Medicaid
NE85267OtherBLUE CROSS/BLUE SHIELD