NPIMap

Organization Active NPI

Jessica a. Zimmerman LMHC LLC

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
National Provider Identifier
1205093960
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
39001854A Issued in IN
Legal business name
JESSICA A. ZIMMERMAN LMHC LLC
Practice address
6530 Constitution Dr
Fort Wayne, IN 46804-1550
Phone
(260) 414-2690
NPI assigned
May 20, 2008
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Jessica A. Zimmerman, M.ED, LMHCNPI 1235396995
Title
Owner
Phone
(260) 414-2690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 39001854A IN Primary

Addresses

Primary practice location

6530 Constitution Dr
Fort Wayne, IN 46804-1550

Mailing address

6530 Constitution Dr
Fort Wayne, IN 46804-1550

National Provider Directory

National Provider Directory

Locations

6530 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 414-2690

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1205093960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041550",
            "telephone_number": "260-414-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA A. ZIMMERMAN LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-414-2690",
        "authorized_official_credential": "M.ED, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "39001854A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.