Individual provider Active NPI

Zachariah Sears

  • Mental Health Counselor
  • Cambridge, MN
National Provider Identifier
1306545330
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
29933 Issued in MN
Practice address
144 2ND Ave SE
Cambridge, MN 55008-1601
Phone
(763) 465-0720
NPI assigned
Feb 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 29933 MN Primary

Addresses

Primary practice location

144 2ND Ave SE
Cambridge, MN 55008-1601

Mailing address

144 2ND Ave SE
Cambridge, MN 55008-1601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918000588 MN Practitioner - Clinical Social Worker 9335680339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Introspect Mental Health LLCGroup PAC ID 9931502796, 6 clinicians

Practice addresses (Care Compare)

144 2ND Ave SE
Cambridge, MN 55008-1601
Phone (651) 271-8970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Introspect Mental Health LLC Mental Health CurrentSince Jul 7, 2024 Accepting new patients
Biorhythms Mental Health Current Accepting new patients

Locations

144 2nd Ave SE
Cambridge, MN 55008
Phone (763) 465-0720

301 Village Pkwy
Circle Pines, MN 55014
Phone (612) 401-4573

4801 Highway 61 N
Ste 204
White Bear Lk, MN 55110
Phone (763) 465-6700

Organizations & group practices 2

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1306545330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 2ND AVE SE",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 2ND AVE SE",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081601",
            "telephone_number": "763-465-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "ZACHARIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "29933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MN

Sources for this page

Verify at the official NPI Registry.