Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770610388 Individual Practitioner Female Practitioner

Lisa Gaye Simon , LAC

Counselor • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Lisa Simon, LAC is a registered healthcare professional specializing in Counselor in Fargo, ND. Practice services are available at 3431 4TH AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3431 4th Ave Sw
Suite H

Fargo, ND 581032227

Telephone 7012988108
Fax 7012977901

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 35.3 Yrs
Regional Practice Density
23 Specialists

Practicing in Fargo, ND (75 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License ND 1318

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3431 4TH AVE SW, SUITE H, FARGO, ND 581032227 (Tel: 7012988108)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3431 4TH AVE SW, SUITE H, FARGO, ND 581032227 (Tel: 7012988108)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LISA SIMON, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #1318 in ND)

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Initial NPI Registration & Enumeration February 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770610388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3431 4th Ave Sw, Suite H

Fargo, ND 581032227

Phone: 7012988108

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.