Individual provider Active NPI

Monica M Zimmerman-Miller, LISW

  • Professional Counselor
  • Canton, OH
National Provider Identifier
1033228044
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
I35036 Issued in OH
Practice address
832 McKinley Ave NW
Canton, OH 44703-2463
Phone
(330) 452-9812
Fax
(330) 430-1288
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X I35036 OH Primary

Addresses

Primary practice location

832 McKinley Ave NW
Canton, OH 44703-2463

Mailing address

832 McKinley Ave NW
Canton, OH 44703-2463
Phone (330) 452-9812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000728 OH Practitioner - Clinical Social Worker 7911916713 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I35036OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Hospital CurrentSince Apr 7, 2022 Accepting new patients
Aultman Hospital Current Accepting new patients
Ohio Physician Professional Corporation CurrentSince Mar 1, 2022 Accepting new patients
Aultman Hospital CurrentSince Apr 7, 2022 Accepting new patients
Coleman Professional Services, Inc. Professional Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2821 Woodlawn Ave NW
Canton, OH 44708
Phone (330) 479-4800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033228044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447032463",
            "telephone_number": "330-452-9812",
            "fax_number": "330-430-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447032463",
            "telephone_number": "330-452-9812",
            "fax_number": "330-430-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN-MILLER",
        "first_name": "MONICA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "I35036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.