Organization Active NPI

Self Matters LLC

  • Counseling Psychologist
  • Dayton, OH
National Provider Identifier
1548678576
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
7181 Issued in OH
Legal business name
SELF MATTERS LLC
Practice address
7989 Washington Woods Dr
Dayton, OH 45459-4026
Phone
(937) 972-5933
Fax
(855) 745-5522
NPI assigned
Jul 22, 2014
Last updated
Jul 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Aparna Zimmerman, PSYDNPI 1659789683
Title
Sole Member
Phone
(937) 972-5933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 7181 OH Primary

Addresses

Primary practice location

7989 Washington Woods Dr
Dayton, OH 45459-4026

Mailing address

7989 Washington Woods Dr
Dayton, OH 45459-4026
Phone (937) 972-5933

Other identifiers 1

IdentifierTypeStateIssuer
0332922MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140902000337 OH Part B Supplier - Clinic/Group Practice 5092933200 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

7989 Washington Woods Dr
Dayton, OH 45459
Phone (937) 972-5933

1563 E Dorothy Ln
Ste 300A
Kettering, OH 45429

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1548678576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7989 WASHINGTON WOODS DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594026",
            "telephone_number": "937-972-5933",
            "fax_number": "855-745-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7989 WASHINGTON WOODS DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594026",
            "telephone_number": "937-972-5933",
            "fax_number": "855-745-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF MATTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "APARNA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "937-972-5933",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "7181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0332922",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.