Angelica Cara Zimmerman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1385 Pocono Blvd
Mount Pocono, PA 18344-1678

Phone

(570) 460-4379

NPI assigned

Jan 12, 2022

Last updated

Jan 12, 2022By the provider in NPPES

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

Other names 1

• Angelica Cara Bertola Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Forensic Counseling Associates LLC

  • Mental Health Counselor
  • Mount Pocono, PA
  • NPI 1821304544
  NPD (past)

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1730830530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "SHAWNEE ON DELAWARE",
            "state": "PA",
            "postal_code": "183560419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 POCONO BLVD",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441678",
            "telephone_number": "570-460-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ANGELICA",
        "middle_name": "CARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "BERTOLA",
            "middle_name": "CARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachelle Wohlers
• Gary Wright, MD
• Bret S. Yarczower, M.D.
• Erica E Yerke, LCSW
• Christopher Yusko, D.O.

• Mental Health Counselor in Mount Pocono, PA
• Providers in Mount Pocono, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.