MEDICARE: MELISSA SIMPSON LPC

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	LPC.0012454	CO

General Provider Information

NPI Number	:	1689055816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA SIMPSON LPC

Provider Business Mailing Address
First Line	:	7319 COPPER SKY WAY
Second Line	:
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-9608
Country	:	US
Telephone Number	:	785-596-1586
Fax Number	:

Provider Business Practice Location Address
First Line	:	7319 COPPER SKY WAY
Second Line	:
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-9608
Country	:	US
Telephone Number	:	678-559-6158
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2015
Last Update Date	:	11/11/2024

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