Provider Demographics
NPI:1548353030
Name:SIMPKINS, JEANIE (LPC)
Entity type:Individual
Prefix:
First Name:JEANIE
Middle Name:
Last Name:SIMPKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 S. 76TH ST.
Mailing Address - Street 2:SUITE 211
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-4356
Mailing Address - Country:US
Mailing Address - Phone:414-325-6616
Mailing Address - Fax:414-325-6617
Practice Address - Street 1:4810 S. 76TH ST.
Practice Address - Street 2:SUITE 211
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-4356
Practice Address - Country:US
Practice Address - Phone:414-325-6616
Practice Address - Fax:414-325-6617
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI414-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health