Individual provider Active NPI

Charles Lee Simmons Jr., LPC, NCC, CACII

  • Professional Counselor
  • Loveland, CO
National Provider Identifier
1215342274
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0015242 Issued in CO
Practice address
1905 W 8TH St Ste 202
Loveland, CO 80537
Phone
(970) 599-1440
Fax
(970) 797-1393
NPI assigned
Jun 27, 2014
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACB.0007896 CO
Professional Counselor 101YP2500X LPC.0015242 CO Primary

Addresses

Primary practice location

1905 W 8TH St Ste 202
Loveland, CO 80537

Mailing address

1905 W 8TH St Ste 202
Loveland, CO 80537-5295
Phone (970) 599-1440

Other practice location 1

320 W Olive St
Fort Collins, CO 80521-2716
Phone (970) 310-3406

Other practice location 2

1905 W 8th St Ste 202
Loveland, CO 80537
Phone (970) 599-1440

Other names 1

  • Chaz Simmons Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACB.0007896COMDAddiction (Substance Use Disorder) Counselor
LPC.0015242COMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1215342274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W 8TH ST STE 202",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375295",
            "telephone_number": "970-599-1440",
            "fax_number": "970-797-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 8TH ST STE 202",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80537",
            "telephone_number": "970-599-1440",
            "fax_number": "970-797-1393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 W Olive St",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805212716",
            "country_code": "US",
            "telephone_number": "970-310-3406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 W 8th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "80537",
            "country_code": "US",
            "telephone_number": "970-599-1440",
            "fax_number": "970-797-1393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CHARLES",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "LPC, NCC, CACII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACB.0007896",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0015242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAZ",
            "last_name": "SIMMONS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.