Active NPI
Piedmont Place Health and Wellness
- Mental Health Counselor
- Pensacola, FL
National Provider Identifier
1124539226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10096
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10096 | FL | Primary |
| Physical Therapist | 225100000X | PT12069 | FL | |
| Massage Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427363530 | Other | NPI |
National Provider Directory
National Provider DirectoryNPI 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.