Active NPI
Peter G Ziminsky, LMHC
- Mental Health Counselor
- Taos, NM
National Provider Identifier
1164088837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CMH0203771
- Practice address
- 412 Sipapu St
Taos, NM 87571-6498 - Phone
- (575) 770-9513
- NPI assigned
- May 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CMH0203771 | NM | Primary |
Addresses
Primary practice location
412 Sipapu St
Taos, NM 87571-6498
Mailing address
PO Box 811
Taos, NM 87571-0811
Phone (575) 770-3507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73725773 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMH0203771 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1164088837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 811",
"city": "TAOS",
"state": "NM",
"postal_code": "875710811",
"telephone_number": "575-770-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 SIPAPU ST",
"city": "TAOS",
"state": "NM",
"postal_code": "875716498",
"telephone_number": "575-770-9513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMINSKY",
"first_name": "PETER",
"middle_name": "G",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-17",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CMH0203771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "73725773",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.