Provider Demographics
NPI:1245888197
Name:SIMPSON, CALLIE (LMFT)
Entity type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CALLIE
Other - Middle Name:
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:690 OHIO AVE NW
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-4628
Mailing Address - Country:US
Mailing Address - Phone:605-461-3819
Mailing Address - Fax:
Practice Address - Street 1:690 OHIO AVE NW
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350-4628
Practice Address - Country:US
Practice Address - Phone:605-461-3819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2487101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty