Individual provider Active NPI

Sara Beth Zimmerman, MHP

  • Mental Health Counselor
  • Hinsdale, IL
National Provider Identifier
1477081891
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
120 E Ogden Ave Ste 220
Hinsdale, IL 60521-3546
Phone
(630) 325-5300
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 Primary

Addresses

Primary practice location

120 E Ogden Ave Ste 220
Hinsdale, IL 60521-3546

Mailing address

1120 Randall CT
Geneva, IL 60134-3911

Other practice location 1

1120 Randall Ct
Geneva, IL 60134-3911
Phone (630) 232-1070 ext. 326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240320000815 IL Practitioner - Mental Health Counselor 3678910189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Professional Associates LTDGroup PAC ID 6002707262, 18 clinicians

Practice addresses (Care Compare)

120 E Ogden Ave
Suite 220
Hinsdale, IL 60521-3546
Phone (630) 325-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1477081891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 RANDALL CT",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE STE 220",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213546",
            "telephone_number": "630-325-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Randall Ct",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601343911",
            "country_code": "US",
            "telephone_number": "630-232-1070 x326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "SARA",
        "middle_name": "BETH",
        "credential": "MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.