Individual provider

Gwen Simmons, ED.D., LPC, NBC, MAC

Addiction (Substance Use Disorder) Counselor Professional Counselor

Gwen Simmons, ED.D., LPC, NBC, MAC is an Addiction (Substance Use Disorder) Counselor in Vass, NC, registered under NPI 1417072398. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 867 CASTLEBERRY CT, Vass, NC 28394. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

867 CASTLEBERRY CT, Vass, NC 28394 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
CCAS 104 NC Addiction (Substance Use Disorder)… primary
LPC 2013 NC Professional Counselor

This provider holds licence CCAS 104 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Addiction (Substance Use Disorder) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YA0400X
Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) CCAS 104 NC primary
101YP2500X Professional Counselor Professional LPC 2013 NC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417072398 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 20, 2007
Last updatedSep 11, 2025
StatusActive
Sole proprietorYes
CredentialED.D., LPC, NBC, MAC
Practice address 867 CASTLEBERRY CT
Vass, NC 28394
(910) 245-2580
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1417072398 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 0 7 2 3 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 0 7 4 3 9

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417072398?
NPI 1417072398 is the National Provider Identifier assigned to Gwen Simmons, ED.D., LPC, NBC, MAC in Vass, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction (Substance Use Disorder) cover?
Definition to come...
How do I contact Gwen Simmons, ED.D., LPC, NBC, MAC?
The phone number on file with NPPES is (910) 245-2580, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1417072398 a valid number?
Yes. 1417072398 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.