Active NPI
Gina Marie Simmons, LPC,CAC III, MA
- Professional Counselor
- Loveland, CO
National Provider Identifier
1689055725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0015178
- Practice address
- 2956 Ginnala Dr Ste 205
Loveland, CO 80538-7825 - Phone
- (907) 599-1523
- NPI assigned
- Jun 15, 2015
- Last updated
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | ACC.0020880 | CO | |
| Professional Counselor | 101YP2500X | LPC.0015178 | CO | Primary |
Addresses
Primary practice location
2956 Ginnala Dr Ste 205
Loveland, CO 80538-7825
Mailing address
224 N Saint Louis Ave
Loveland, CO 80537-5866
Phone (970) 599-1523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EIN | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACC.0020880 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0015178 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1689055725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 N SAINT LOUIS AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805375866",
"telephone_number": "970-599-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2956 GINNALA DR STE 205",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805387825",
"telephone_number": "907-599-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "LPC,CAC III, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-15",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACC.0020880",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0015178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "EIN",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.