Organization Active NPI

Piedmont Place Health and Wellness

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1124539226
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10096 Issued in FL
Legal business name
PIEDMONT PLACE HEALTH AND WELLNESS
Practice address
6706 N 9TH Ave Ste B5
Pensacola, FL 32504-7378
Phone
(850) 816-0220
Fax
(850) 270-6658
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
David Zimmerman
Title
President
Phone
(850) 816-0220

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH10096 FL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT12069 FL
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA66580 FL

Addresses

Primary practice location

6706 N 9TH Ave Ste B5
Pensacola, FL 32504-7378

Mailing address

6706 N 9TH Ave Ste B5
Pensacola, FL 32504-7378
Phone (850) 816-0220

Other identifiers 1

IdentifierTypeStateIssuer
1427363530OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1124539226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 N 9TH AVE STE B5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047378",
            "telephone_number": "850-816-0220",
            "fax_number": "850-270-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 N 9TH AVE STE B5",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047378",
            "telephone_number": "850-816-0220",
            "fax_number": "850-270-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PLACE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-816-0220"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10096",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12069",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA66580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427363530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • 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.