Active NPI
Nebojsa V Zimonjic, MS, LGPC
- Professional Counselor
- Cumberland, MD
National Provider Identifier
1558636134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP4255
- Practice address
- 500 Memorial Ave
Suite M-304
Cumberland, MD 21502-3732 - Phone
- (240) 580-1919
- Fax
- (443) 276-6712
- NPI assigned
- Mar 15, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP4255 | MD | Primary |
Addresses
Primary practice location
500 Memorial Ave
Suite M-304
Cumberland, MD 21502-3732
Mailing address
500 Memorial Ave
Suite M-304
Cumberland, MD 21502-3732
Phone (240) 580-1919
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP4255 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1558636134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MEMORIAL AVE",
"address_2": "SUITE M-304",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215023732",
"telephone_number": "240-580-1919",
"fax_number": "443-276-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MEMORIAL AVE",
"address_2": "SUITE M-304",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215023732",
"telephone_number": "240-580-1919",
"fax_number": "443-276-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMONJIC",
"first_name": "NEBOJSA",
"middle_name": "V",
"credential": "MS, LGPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-15",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP4255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.