Connie Sue Zmijewski, LCMHC, RN

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5371 Issued in NC

Practice address

10001 Old Concord Rd
Charlotte, NC 28213-3646

Phone

(704) 547-1483

Fax

(704) 547-0052

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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 NC

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

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University Psychological Associates PAGroup PAC ID 9335187442, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• University Psychological Associates, P.a.

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1023116910
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1427083864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 OLD CONCORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282133646",
            "telephone_number": "704-547-1483",
            "fax_number": "704-547-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 OLD CONCORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282133646",
            "telephone_number": "704-547-1483",
            "fax_number": "704-547-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMIJEWSKI",
        "first_name": "CONNIE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LCMHC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dietlinde Wohrer Zipkin, M.D.
• Ashante Faith Zirker
• Zitel Family Chiropractic
• Jeff L Zitel, D.C.
• Ashley Zitter, PHD
• Aminah Waleed Zoabi
• Maryam Zoabi, DO
• Zohex Inc
• Zola Counseling PLLC
• Jason Saint Zolak, MD

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.