Timothy Mark Zetzsche, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3149 Issued in MN

Practice address

917 N Broadway
Rochester, MN 55906-6843

Phone

(507) 252-8218

Fax

(507) 252-8217

NPI assigned

Jan 5, 2022

Sex

Male

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

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Service Rochester IncGroup PAC ID 1759658388, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/familyservicerochester/r4/

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.

• Family Service Rochester, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, MN
  • NPI 1275746083
  Medicare reassignment Care Compare group NPD
• Family Service Rochester

  • Case Management Agency
  • Rochester, MN
  • NPI 1487874996
  NPD

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1336800952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 NORTHERN VIOLA LN NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559066948",
            "telephone_number": "608-469-3031",
            "fax_number": "507-252-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559066843",
            "telephone_number": "507-252-8218",
            "fax_number": "507-252-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETZSCHE",
        "first_name": "TIMOTHY",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Zendejas-Finley, LICSW, MSW
• Cinthya Jeanette Zepeda Mendoza, PH.D.
• Katherine A Zeratsky, RD
• Douglas M Zerbe, M.D.
• Laura Ashley Zett, DC
• John Zeuli, PHARMD
• Burcu Zeydan, MD
• Wen-Zhi Zhan, MD
• Lindsey M Zhang, M.D.
• Lingxin Zhang

• Professional Counselor in Rochester, MN
• Providers in Rochester, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.