Individual provider Active NPI

Clifford Zimmer

  • Mental Health Counselor
  • Springfield, MA
National Provider Identifier
1134586936
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10006560 Issued in MA
Practice address
1695 Main St FL 400
Springfield, MA 01103-1063
Phone
(413) 739-5572
NPI assigned
Jan 25, 2016
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC10006560 MA Primary

Addresses

Primary practice location

1695 Main St FL 400
Springfield, MA 01103-1063

Mailing address

1695 Main St FL 400
Springfield, MA 01103-1063
Phone (413) 739-5572

Other practice location 1

1100 Washington St
Dorchester Center, MA 02124-5537
Phone (617) 325-2993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Services Institute, Inc. PastSince Mar 11, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1134586936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 MAIN ST FL 400",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031063",
            "telephone_number": "413-739-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 MAIN ST FL 400",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031063",
            "telephone_number": "413-739-5572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Washington St",
            "address_purpose": "LOCATION",
            "city": "Dorchester Center",
            "state": "MA",
            "postal_code": "021245537",
            "country_code": "US",
            "telephone_number": "617-325-2993",
            "fax_number": "617-325-5618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "CLIFFORD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-25",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10006560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.