Individual provider Active NPI

Erica Zanish, MA, LPCC

  • Professional Counselor
  • Coon Rapids, MN
National Provider Identifier
1215385869
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC01083 Issued in MN
Practice address
10077 Dogwood St NW
Suite 200, #201
Coon Rapids, MN 55448-5286
Phone
(763) 489-7124
Fax
(763) 489-7498
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC01083 MN Primary

Addresses

Primary practice location

10077 Dogwood St NW
Suite 200, #201
Coon Rapids, MN 55448-5286

Mailing address

10077 Dogwood St NW
Suite 200, #201
Coon Rapids, MN 55448-5286
Phone (763) 489-7124

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC01083MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Canvas Health, Inc. PastSince May 16, 2016 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1215385869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10077 DOGWOOD ST NW",
            "address_2": "SUITE 200, #201",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554485286",
            "telephone_number": "763-489-7124",
            "fax_number": "763-489-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10077 DOGWOOD ST NW",
            "address_2": "SUITE 200, #201",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554485286",
            "telephone_number": "763-489-7124",
            "fax_number": "763-489-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANISH",
        "first_name": "ERICA",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.