Active NPI
Michelle Zietz-Zimmer, M.A, LPC
- Professional Counselor
- Hillsboro, OR
National Provider Identifier
1649580234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4365
- Practice address
- 5240 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-6210 - Phone
- (503) 846-3167
- NPI assigned
- Oct 15, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C4365 | OR | Primary |
Addresses
Primary practice location
5240 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-6210
Mailing address
5240 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-6210
Phone (503) 846-3167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649580234 | Medicaid | OR |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4365 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1649580234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 NE ELAM YOUNG PKWY STE 150",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971246210",
"telephone_number": "503-846-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 NE ELAM YOUNG PKWY STE 150",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971246210",
"telephone_number": "503-846-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIETZ-ZIMMER",
"first_name": "MICHELLE",
"credential": "M.A, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C4365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649580234",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.