Active NPI
Christina M Zimmerman, LMFT
- Marriage & Family Therapist
- Rock Hill, SC
National Provider Identifier
1265435374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2600
- Practice address
- 1721 Ebenezer Rd
Suite 215
Rock Hill, SC 29732-4103 - Phone
- (803) 487-3065
- NPI assigned
- May 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2600 | SC | Primary |
Addresses
Primary practice location
1721 Ebenezer Rd
Suite 215
Rock Hill, SC 29732-4103
Mailing address
4217 Ivywood Dr
Rock Hill, SC 29732-9583
Phone (803) 487-3065
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 |
|---|---|---|---|
| 2600 | SC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1265435374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4217 IVYWOOD DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297329583",
"telephone_number": "803-487-3065",
"fax_number": "803-981-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 EBENEZER RD",
"address_2": "SUITE 215",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297324103",
"telephone_number": "803-487-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "CHRISTINA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "2600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.