Healthcare Provider Details

I. General information

NPI: 1841708013
Provider Name (Legal Business Name): ERIN CUMMINGS SIMPSON LCPC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 03/30/2022
Certification Date: 03/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W HIGGINS RD STE 210
HOFFMAN ESTATES IL
60169-7234
US

IV. Provider business mailing address

2500 W HIGGINS RD STE 210
HOFFMAN ESTATES IL
60169-7234
US

V. Phone/Fax

Practice location:
  • Phone: 224-489-3888
  • Fax:
Mailing address:
  • Phone: 224-489-3888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209.024869
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.011565
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.013411
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: