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

Samuel Simmons Jr., LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902281256

Samuel Simmons Jr., LADC is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

3442 25th Ave S
Minneapolis, MN 55406-2504
Phone: (612) 721-0106
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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 300322 (MN)

Record details

NPI number1902281256
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorYes
NPI enumeratedJuly 28, 2015
Last updated in NPPESJuly 28, 2015

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