Active NPI
Charles Lee Simmons Jr., LPC, NCC, CACII
- Professional Counselor
- Loveland, CO
National Provider Identifier
1215342274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0015242
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACB.0007896 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0015242 | CO | MD | Professional 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.