Nicole Zlate, MA, LPCC, LADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

306627 Issued in MN

Practice address

2006 1St Ave Ste 201
Anoka, MN 55303-2255

Phone

(763) 647-8188

NPI assigned

Nov 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Sheepdog Therapy LLC

  • Mental Health Counselor
  • Anoka, MN
  • NPI 1831979509
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1063014801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 5TH AVE STE 4",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 1ST AVE STE 201",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032255",
            "telephone_number": "763-647-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLATE",
        "first_name": "NICOLE",
        "credential": "MA, LPCC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2023-11-09",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3399",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "306627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Zagaros
• Ann E. Zaiser, M.S. LP
• Olivia Zebro, D.C.
• Mackenzie Zimmerman, PA-C
• Cassandra Jane Zimmermann, M.A., OTR/L
• Zoya Senior Care LLC
• Andrew Zwack

• Counselor in Anoka, MN
• Providers in Anoka, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.