Active NPI
Tanner Zimmerman, MA
- Marriage & Family Therapist
- Edina, MN
National Provider Identifier
1437750056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 5275 Edina Industrial Blvd Ste 220
Edina, MN 55439-2903 - Phone
- (612) 470-9252
- NPI assigned
- Nov 2, 2020
- Last updated
- Sep 24, 2024
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
5275 Edina Industrial Blvd Ste 220
Edina, MN 55439-2903
Mailing address
5275 Edina Industrial Blvd Ste 220
Edina, MN 55439-2903
Phone (612) 470-9252
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ripple Effect Mental Health LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Zimmerman Counseling & Consulting LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
5275 Edina Industrial Blvd
Ste 220
Edina, MN 55439
Phone (612) 470-9252
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Edina, MN
- NPI 1245082817
-
dba Zimmerman Relational Therapy
- Marriage & Family Therapist
- Edina, MN
- NPI 1639996366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1437750056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 EDINA INDUSTRIAL BLVD STE 220",
"city": "EDINA",
"state": "MN",
"postal_code": "554392903",
"telephone_number": "612-470-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5275 EDINA INDUSTRIAL BLVD STE 220",
"city": "EDINA",
"state": "MN",
"postal_code": "554392903",
"telephone_number": "612-470-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "TANNER",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-02",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
- Gregory Joseph Zimel, PT, DPT
- Zimmerman Counseling & Consulting LLC (Zimmerman Relational Therapy)
- Annabeth Pearl Zimmerman
- Felicia Vanessa Zimmerman
- Kurt Fredric Zimmerman, M.D.
- Janet Amy Zingale, D.D.S.
- Michael Joseph Zingale, D.D.S.
- John Bradley Ziola, HIS
- Zion Community Services Corporation
- Mark M Zipper, PH D, LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.