MEDICARE: KEIKO YONEYAMA-SIMS LMFT

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	106H00000X	Marriage & Family Therapist	50191	CA
2	106H00000X	Marriage & Family Therapist
3	106H00000X	Marriage & Family Therapist	0001179	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780710384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEIKO YONEYAMA-SIMS LMFT

Provider Business Mailing Address
First Line	:	PO BOX 9163
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-0163
Country	:	US
Telephone Number	:	720-739-0668
Fax Number	:

Provider Business Practice Location Address
First Line	:	1805 S BELLAIRE ST STE 465-03
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4305
Country	:	US
Telephone Number	:	720-739-0668
Fax Number	:

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	02/24/2022

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