Christina Lynn Zimmerman, MA,ATR, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2376 Issued in OR

Practice address

1125 SE Division St Ste 207
Portland, OR 97202-2567

Phone

(503) 502-8593

Fax

(503) 479-4399

NPI assigned

Jul 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1568627875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 SE STEELE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065649",
            "telephone_number": "503-502-8593",
            "fax_number": "503-479-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SE DIVISION ST STE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022567",
            "telephone_number": "503-502-8593",
            "fax_number": "503-479-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "credential": "MA,ATR, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2376",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C2376",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "06-11-70",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia Zimmerman
• Angela Tay Zimmerman, MD
• Benjamin John Zimmerman, B.A.
• Cassandra Zimmerman, OTR/L
• Charles Nelson Zimmerman, PSY.D., M.A.
• David Zimmerman, LPC-I
• Eric Zimmerman
• Judy Zimmerman, PHARM.D.
• Kathy A Zimmerman, LPC, LMHC
• Mazzy Zimmerman

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.