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
- Last updated
- Jun 16, 2018
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Pensacola, FL
- NPI 1427363530
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": [],
"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.