Individual provider · Type 1 NPI

Shanettka Simmons

Peer Specialist · Los Angeles, CA

NPI number 1780535344 Active

Practice location

2121 W Temple St
Los Angeles, CA 90026-4915

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist 373H00000XNone listed
Peer Specialist Primary 175T00000XMPSSNOSDFM (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1780535344

Shanettka Simmons's National Provider Identifier is 1780535344, issued on Feb 9, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 26, 2026.