Provider Demographics
NPI:1639729338
Name:SIMPSON, ARRIE M (LCPC, LPC, CSAT)
Entity type:Individual
Prefix:
First Name:ARRIE
Middle Name:M
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LCPC, LPC, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10616 PAIGE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-1053
Mailing Address - Country:US
Mailing Address - Phone:205-586-0650
Mailing Address - Fax:
Practice Address - Street 1:15030 S RAVINIA AVE STE 31
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-3258
Practice Address - Country:US
Practice Address - Phone:708-312-0705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X, 101Y00000X, 101YP2500X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)