Kori Zimmerman, MA, LLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6361001841 Issued in MI

Practice address

491 Columbia Ave E Ste 4
Battle Creek, MI 49014-5468

Phone

(269) 962-9611

Fax

(269) 962-9612

NPI assigned

Nov 30, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avalon Behavioral Health, PLC

  • Psychologist
  • Battle Creek, MI
  • NPI 1376780874
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1629345988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W HIGH ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581123",
            "telephone_number": "269-838-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 COLUMBIA AVE E STE 4",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145468",
            "telephone_number": "269-962-9611",
            "fax_number": "269-962-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KORI",
        "name_prefix": "Miss",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361001841",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6361001841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuanchun Zhou, DMD
• Kimberly Ann Ziel, CTRS
• Jeremy Zielaskowski, PHARM.D
• Tenneil Lynn Zielaskowski, REGISTERED DIETITIAN
• Cheryl Ann Zimlich, PMHNP
• Abigail Schein Zimskind, M.D.
• Matthew Hershel Zitny
• Gary Lee Zoutendam, DDS

• Counseling Psychologist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.