Provider Demographics
NPI:1669003166
Name:SIMPSON, SARA ANN (MA, LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MA, LPCC, NCC
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:ANN
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPCC, NCC
Mailing Address - Street 1:PO BOX 7802
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80933-7802
Mailing Address - Country:US
Mailing Address - Phone:719-347-1497
Mailing Address - Fax:
Practice Address - Street 1:2210 E LA SALLE ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-2303
Practice Address - Country:US
Practice Address - Phone:719-347-1497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0016598101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional