Jessica A. Zimmerman, M.ED, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001854A Issued in IN

Practice address

1720 Beacon St
Fort Wayne, IN 46805

Phone

(260) 373-8000

Fax

(260) 373-8034

NPI assigned

May 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Jessica a. Zimmerman LMHC LLC

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
  • NPI 1205093960
  NPD (past) Authorized official

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1235396995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 NEW VISION DR BLDG B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 BEACON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46805",
            "telephone_number": "260-373-8000",
            "fax_number": "260-373-8034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6530 Constitution Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468041550",
            "country_code": "US",
            "telephone_number": "260-414-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3478 Stellhorn Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468154630",
            "country_code": "US",
            "telephone_number": "260-452-5336",
            "fax_number": "260-387-5075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3478 Stellhorn Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468154630",
            "country_code": "US",
            "telephone_number": "260-452-5336",
            "fax_number": "260-387-5075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JESSICA",
        "middle_name": "A.",
        "credential": "M.ED, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001854A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Marie Zimmerman, M S
• Catherine Sue Zimmerman, M.S., CCC-A
• David M Zimmerman, M.D.
• Erin Zimmerman, NP
• Jennifer Lynn Zimmerman, RPH
• Ryan Dean Zimmerman, DMD
• Courtney Zimpfer, RDN
• Victor Zindoga, FNP
• Gregory F Zink, O.D.
• Diane Lynn Zinn, OTR

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.