Provider Demographics
NPI:1558998930
Name:SIMONS, SHEILA (LPCC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:SIMONS
Suffix:
Gender:
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 BOARDWALK DRIVE
Mailing Address - Street 2:PO BOX 272311
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525
Mailing Address - Country:US
Mailing Address - Phone:970-205-9386
Mailing Address - Fax:
Practice Address - Street 1:1015 W HORSETOOTH RD
Practice Address - Street 2:SUITE 201
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526
Practice Address - Country:US
Practice Address - Phone:970-205-9468
Practice Address - Fax:970-232-2833
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0018186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COLPC.0018186OtherPROFESSIONAL COUNSELOR