MEDICARE: DONALD SIMPSON LPC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1124993845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONALD SIMPSON LPC LLC

Provider Business Mailing Address
First Line	:	320 BURNING BROOK DR
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63366-4989
Country	:	US
Telephone Number	:	636-698-5618
Fax Number	:	314-886-7397

Provider Business Practice Location Address
First Line	:	11710 ADMINISTRATION DR STE 21
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3416
Country	:	US
Telephone Number	:	636-698-5618
Fax Number	:	314-886-7397

Authorized Official
Title or Position	:	OWNER
Name	:	DONALD SIMPSON
Credential	:
Telephone Number	:	636-698-5618

Provider Enumeration Date	:	10/10/2025
Last Update Date	:	10/10/2025

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