Benjamin Zimmer, MA, IMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1700006 Issued in OH

Practice address

12620 Larchmere Blvd
Cleveland, OH 44120-1110

Phone

(424) 298-0447

NPI assigned

Feb 28, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Practice roles

Locations

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.

• Larchmere Center for Well-Being LLC

  • Marriage & Family Therapist
  • Cleveland, OH
  • NPI 1528684800
  NPD Authorized official

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1710489364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 WINSLOW RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441224961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 LARCHMERE BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201110",
            "telephone_number": "424-298-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "BENJAMIN",
        "credential": "MA, IMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "1700006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Zigo, CAA
• Kristen Marie Zimbardi, NP
• Amanda Lynn Zimcosky, PA-C
• David Anthony Zimcosky, PA-C
• Rachael Zimlich, RN
• Damian A Zimmerman
• Denise Zimmerman, ACNS-BC
• Renee Zimmerman, LSW
• Robert S Zimmerman, MD
• Sarah Zimmerman

• Marriage & Family Therapist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.