Active NPI
Amanda Maureen Fitzsimons, BS, CACIII
- Addiction (Substance Use Disorder) Counselor
- Lakewood, CO
National Provider Identifier
1366499725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6320
- Practice address
- 260 S Kipling St
Lakewood, CO 80226-1086 - Phone
- (303) 239-7132
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6320 | CO | Primary |
Addresses
Primary practice location
260 S Kipling St
Lakewood, CO 80226-1086
Mailing address
260 S Kipling St
Lakewood, CO 80226-1086
Phone (303) 239-7132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6320 | Other | CO | CACIII |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6320 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366499725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 S KIPLING ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802261086",
"telephone_number": "303-239-7132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 S KIPLING ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802261086",
"telephone_number": "303-239-7132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZSIMONS",
"first_name": "AMANDA",
"middle_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "BS, CACIII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "6320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CACIII",
"identifier": "6320",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.