Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Thomas Simmons

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619614732

Keith Thomas Simmons is an Addiction (Substance Use Disorder) Counselor in Folsom, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

130 Prospector Ct
Folsom, CA 95630-5119
Phone: (916) 293-9667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CI41460124 (CA)

Record details

NPI number1619614732
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2022
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address130 Prospector Ct, Folsom, CA 95630-5119

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