Healthcare Provider Details

I. General information

NPI: 1639729338
Provider Name (Legal Business Name): ARRIE M SIMPSON LCPC, LPC, CSAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15030 S RAVINIA AVE STE 31
ORLAND PARK IL
60462-3258
US

IV. Provider business mailing address

10616 PAIGE CIR
ORLAND PARK IL
60462-1053
US

V. Phone/Fax

Practice location:
  • Phone: 708-312-0705
  • Fax:
Mailing address:
  • Phone: 205-586-0650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: