MJ Zimmerman LPCC, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0188201 Issued in NM

Legal business name

MJ ZIMMERMAN LPCC, LLC

Doing business as

MJ Zimmerman LPCC

Practice address

4916 4TH St NW
Albuquerque, NM 87107-3949

Phone

(505) 573-2339

NPI assigned

Nov 20, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Jane Zimmerman, LPCCNPI 1275832511

Title

Sole Member

Phone

(505) 573-2339

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MJ Zimmerman LPCC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Jane Zimmerman, LPCC

  • Professional Counselor
  • Los Ranchos, NM
  • NPI 1275832511
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1013421619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 TEODOCIO ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073359",
            "telephone_number": "505-573-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073949",
            "telephone_number": "505-573-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ ZIMMERMAN LPCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "505-573-2339",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0188201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15883086",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MJ Zimmerman LPCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Lawrance Mittleman, DPM
• Shana Mix, RDH
• Sean Miyaki Lopez, MOT
• Felicia Mize
• Terry Mize, PA-C
• MJR Communication Therapy, LLC
• MJRX II LLC (Best Buy Drugs)
• MJRX LLC (Rx Innovations)
• MKB Therapy, MKB, LLC
• Ernest Kenneth Mladinich, MD

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.