Madison Ann Zimmerman, LAC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-21114 Issued in AZ

Practice address

1017 S Gilbert Rd
Mesa, AZ 85204-4442

Phone

(602) 363-0625

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1659085918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 N BOYD RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851198997",
            "telephone_number": "480-272-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852044442",
            "telephone_number": "602-363-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MADISON",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LAC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-21114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kareo.com",
            "affiliation": "N",
            "address_1": "1017 S Gilbert Rd",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852044442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Ann Ziervogel, LPC
• Brian D Zilliox, PA-C
• Alisha Zimmer
• Jan Zimmerman-Colvin, RN
• Constance Lee Zimmerman, CCC-SLP
• Michael Zimmerman, LPC
• Jeanniekay McCall Zinda, MS CCC SLP
• Marilyn Gaile Zindel, OT
• Neale Zingle, CCP
• Judith Ann Ziol, ND

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.