Individual provider Active NPI

Alicia Simpson

  • Marriage & Family Therapist
  • Nampa, ID
National Provider Identifier
1790163855
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LAMFT-7330 Issued in ID
Practice address
112 12TH Ave Rd
Nampa, ID 83686
Phone
(208) 465-5433
Fax
(208) 466-5802
NPI assigned
May 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LAMFT-7330 ID Primary
Marriage & Family Therapist 106H00000X 69100 CA

Addresses

Primary practice location

112 12TH Ave Rd
Nampa, ID 83686

Mailing address

112 12TH Ave Rd
Nampa, ID 83686-5011
Phone (208) 465-5433

Other practice location 1

3650 Auburn Blvd # C-208
Sacramento, CA 95821-2069
Phone (916) 300-6576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215001005 ID Practitioner - Marriage and Family Therapist 6800230178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Counseling Center Inc.Group PAC ID 4385822493, 2 clinicians

Practice addresses (Care Compare)

112 12TH Ave Rd
Nampa, ID 83686-5011
Phone (208) 465-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69100CAMDMarriage & Family Therapist
LAMFT-7330IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Counseling Center Inc. CurrentSince Jan 29, 2024 Accepting new patients
Life Practice Counseling Group Past Accepting new patients

Locations

112 12th Ave Rd
Nampa, ID 83686
Phone (208) 465-5433

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1790163855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865011",
            "telephone_number": "208-465-5433",
            "fax_number": "208-466-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83686",
            "telephone_number": "208-465-5433",
            "fax_number": "208-466-5802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 Auburn Blvd # C-208",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958212069",
            "country_code": "US",
            "telephone_number": "916-300-6576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-09",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LAMFT-7330",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "69100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.