1447059142 NPI number — ANGELIA LOUISE SIMETI MA, LPCC, ERYT

Table of content: ANGELIA LOUISE SIMETI MA, LPCC, ERYT (NPI 1447059142)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447059142 NPI number — ANGELIA LOUISE SIMETI MA, LPCC, ERYT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SIMETI
Provider First Name:
ANGELIA
Provider Middle Name:
LOUISE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA, LPCC, ERYT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SIMETI
Provider Other First Name:
ANGIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, LPCC, ERYT
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1447059142
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/13/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1500 N GRANT ST STE R
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80203-1859
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-663-1602
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7113 60TH LN APT 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIDGEWOOD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11385-5946
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-663-1602
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/13/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  0021065 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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