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

MS. Ivory Simmons

Individual provider Mental Health Counselor · NPI 1114660164

MS. Ivory Simmons is a Mental Health Counselor in Winston Salem, North Carolina. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1613 Windsong Ct
Winston Salem, NC 27127-4788
Phone: (336) 830-2241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A17775 (NC)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1114660164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 18, 2022
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Winston Salem