Active NPI
Jennifer Zima
- Mental Health Counselor
- Hickory Hills, IL
National Provider Identifier
1609233279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.008632
- Practice address
- 8020 W 87TH St
Hickory Hills, IL 60457-1189 - Phone
- (708) 745-5277
- Fax
- (708) 741-4501
- NPI assigned
- Jan 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 180.008632 | IL | |
| Mental Health Counselor | 101YM0800X | 180.008632 | IL | Primary |
| Professional Counselor | 101YP2500X | 180.008632 | IL |
Addresses
Primary practice location
8020 W 87TH St
Hickory Hills, IL 60457-1189
Mailing address
8020 W 87TH St
Hickory Hills, IL 60457-1189
Phone (708) 745-5277
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.008632 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1609233279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8020 W 87TH ST",
"city": "HICKORY HILLS",
"state": "IL",
"postal_code": "604571189",
"telephone_number": "708-745-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8020 W 87TH ST",
"city": "HICKORY HILLS",
"state": "IL",
"postal_code": "604571189",
"telephone_number": "708-745-5277",
"fax_number": "708-741-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMA",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-27",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "180.008632",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.008632",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.008632",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.