Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Micah Fitzsimmons

Individual provider Peer Specialist · NPI 1750175436

Micah Fitzsimmons is a Peer Specialist in Los Angeles, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

655 Maple Ave
Los Angeles, CA 90014-2211
Phone: (951) 444-0965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-GYRHLS (CA)
Mental Health Counselor Taxonomy 101YM0800X
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1750175436
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address655 Maple Ave, Los Angeles, CA 90014-2211

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