Justin Dean Zierke, LCPC, NCC, ACADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-4875 Issued in ID

Practice address

1070 Hiline Rd Ste 210
Pocatello, ID 83201-2947

Phone

(208) 821-1384

Fax

(208) 478-4999

NPI assigned

Oct 23, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1497081681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 HUMMINGBIRD CIR",
            "city": "SHELLEY",
            "state": "ID",
            "postal_code": "832745099",
            "telephone_number": "208-821-1384",
            "fax_number": "208-478-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 HILINE RD STE 210",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012947",
            "telephone_number": "208-821-1384",
            "fax_number": "208-478-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIERKE",
        "first_name": "JUSTIN",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "LCPC, NCC, ACADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-23",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "160",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "205596",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-4875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497081681",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Margaret S Zajanc, DMD
• Cheryl Zaremba, M.S. CCC-SLP
• Karim Zeglam, MD
• Blaire M Zikratch-Clayson, DPT
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• Cory Zwahlen

• Mental Health Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.