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NPI Code Detail

MEDICARE: MR. NASSER OBAID AL-SHAMESI LPCC

MEDICARE: MR. NASSER OBAID AL-SHAMESI LPCC
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
1101YM0800XMental Health CounselorLPCC.0024083CO

General Provider Information

NPI Number : 1477418515
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NASSER OBAID AL-SHAMESI LPCC
Provider Business Mailing Address
First Line : 733 DAFFODIL ST
Second Line :
City : FOUNTAIN
State : CO
Zip : 80817-4174
Country : US
Telephone Number : 915-246-6680
Fax Number :
Provider Business Practice Location Address
First Line : 2116 HOLLOW BROOK DR STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-1443
Country : US
Telephone Number : 719-249-0984
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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