Individual provider Active NPI

Trisha Ziem, LPC

  • Professional Counselor
  • Lambertville, MI
National Provider Identifier
1467036483
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401019130 Issued in MI
Practice address
8336 Monroe Rd RM 120
Lambertville, MI 48144-9340
Phone
(734) 807-0162
Fax
(888) 700-7159
NPI assigned
May 6, 2021
Last updated
May 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401019130 MI Primary

Addresses

Primary practice location

8336 Monroe Rd RM 120
Lambertville, MI 48144-9340

Mailing address

8336 Monroe Rd RM 120
Lambertville, MI 48144-9340
Phone (734) 807-0162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 19, 2024 through Feb 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401019130MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Behavioral Health Professional CurrentSince Mar 5, 2023 Accepting new patients
Restorative Roots LLC Professional Current Accepting new patients

Locations

8336 Monroe Rd
Rm 120
Lambertville, MI 48144
Phone (734) 807-0162

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.

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1467036483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8336 MONROE RD RM 120",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449340",
            "telephone_number": "734-807-0162",
            "fax_number": "888-700-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8336 MONROE RD RM 120",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449340",
            "telephone_number": "734-807-0162",
            "fax_number": "888-700-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEM",
        "first_name": "TRISHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lambertville, MI

Sources for this page

Verify at the official NPI Registry.