| Alicia Simpson, | |
| 
					112 12th Ave Rd, Nampa, ID 83686  | |
| (208) 465-5433 | |
| (208) 466-5802 | 
| Full Name | Alicia Simpson | 
|---|---|
| Gender | Female | 
| Speciality | Marriage & Family Therapist | 
| Location | 112 12th Ave Rd, Nampa, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790163855 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LAMFT-7330 (Idaho) | Primary | 
| 106H00000X | Marriage & Family Therapist | 69100 (California) | Secondary | 
| Entity Name | Life Counseling Center Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841206604 PECOS PAC ID: 4385822493 Enrollment ID: O20110620000425  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alicia Simpson, 112 12th Ave Rd, Nampa, ID 83686-5011 Ph: (208) 465-5433  | Alicia Simpson, 112 12th Ave Rd, Nampa, ID 83686 Ph: (208) 465-5433  | 
Heidi Alyssa Stark,  Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4024 Ivy Dr, Nampa, ID 83686 Phone: 208-890-3864  | |
Dr. Damaris Ellen Conrad, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 S Lancaster Dr, Nampa, ID 83686 Phone: 208-463-6366  | |
Ms. Gisela Woggon, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1009 W Hemingway Blvd, Nampa, ID 83651 Phone: 208-453-8915 Fax: 208-453-8937  |