Laytrayal Antionette Simmons, LPC, PH.D.
NPI 1639415219ActiveIndividual· Psychologist, Counseling· Washington, DC
Psychologist, Counseling (LPC, PH.D.) in Washington, District of Columbia, licensed in DC, with an NPI issued in December 2012. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1639415219 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, PH.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 30, 2012 |
| Last updated in NPPES | Dec 28, 2020 |
| Certified by provider | Dec 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | PSY1001159 | DC |
| Psychologist | 103T00000X | PSY1001159 | DC |
| Counselor, Professional | 101YP2500X | PRC14145 | DC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (DC) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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