Organization Active NPI

Zimmermann C&C Group, LLC

Doing business as Mission Valley Psychotherapy

  • Mental Health Counselor
  • Polson, MT
National Provider Identifier
1063213163
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ZIMMERMANN C&C GROUP, LLC
Doing business as
Mission Valley Psychotherapy
Practice address
220 Main St
Polson, MT 59860-2167
Phone
(626) 869-6069
NPI assigned
Mar 24, 2025
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Kristen Zimmermann, LCPCNPI 1740090539
Title
Counselor
Phone
(425) 308-2107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

220 Main St
Polson, MT 59860-2167

Mailing address

48901 US Highway 93 Ste a-270
Polson, MT 59860-7472
Phone (425) 308-2107

Other names 1

  • Mission Valley Psychotherapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250826000365 MT Part B Supplier - Clinic/Group Practice 6608376454 Receives reassigned benefits from 1 practitioner
Practice locations: Polson, MT

National Provider Directory

National Provider Directory

Locations

220 Main St
Polson, MT 59860
Phone (406) 212-7023

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1063213163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48901 US HIGHWAY 93 STE A-270",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598607472",
            "telephone_number": "425-308-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602167",
            "telephone_number": "626-869-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMMERMANN C&C GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMANN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "425-308-2107",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Valley Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Valley Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Polson, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.