Active NPI
Aubree Sara Zimmerman, CSAC-R
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 3290 Lynn Ridge Dr
Apt 1F
Raleigh, NC 27613-8947 - Phone
- (919) 833-8899
- NPI assigned
- Dec 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
3290 Lynn Ridge Dr
Apt 1F
Raleigh, NC 27613-8947
Mailing address
3290 Lynn Ridge Dr
Apt 1F
Raleigh, NC 27613-8947
Phone (919) 833-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Optum Cir
Eden Prairie, MN 55344-2956
211 E Six Forks Rd
Suite 117
Raleigh, NC 27609-7753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13254 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, PC | Current | Accepting new patients | |
| First Step Services, LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| First Step Services | Past | Accepting new patients | |
| First Step Services, LLC | Past | Accepting new patients |
Locations
1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202
128 Quade Dr
Cary, NC 27513
Phone (919) 651-8349
211 E Six Forks Rd
Ste 117
Raleigh, NC 27609
Phone (919) 833-8899
Organizations & group practices 6
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.
-
- Counseling Psychologist
- Hillsborough, NC
- NPI 1629843933
-
- Counseling Psychologist
- Cary, NC
- NPI 1548035876
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1861371718
-
- Professional Counselor
- Raleigh, NC
- NPI 1659685899
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raleigh, NC
- NPI 1326091612
-
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
- NPI 1790094803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1730623554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 LYNN RIDGE DR",
"address_2": "APT 1F",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276138947",
"telephone_number": "919-833-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 LYNN RIDGE DR",
"address_2": "APT 1F",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276138947",
"telephone_number": "919-833-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "AUBREE",
"middle_name": "SARA",
"credential": "CSAC-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-13",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.