Individual provider Active NPI

Zoya Picklesimer, LCAS, LPC

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1740553171
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8718 Issued in NC
Practice address
4620 Cedar Ave Ste 117
Wilmington, NC 28403-4423
Phone
(910) 685-6928
Fax
(910) 401-1810
NPI assigned
Feb 15, 2012
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NC
Mental Health Counselor 101YM0800X 8718 NC Primary

Addresses

Primary practice location

4620 Cedar Ave Ste 117
Wilmington, NC 28403-4423

Mailing address

4620 Cedar Ave Ste 117
Wilmington, NC 28403-4423
Phone (910) 685-6928

Other practice location 1

416 W. Ridge St.
Rose Hill, NC 28458-0880
Phone (910) 296-2610

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

State licenses

LicenseStateTypeSpecialty
8718NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1740553171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 CEDAR AVE STE 117",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034423",
            "telephone_number": "910-685-6928",
            "fax_number": "910-401-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 CEDAR AVE STE 117",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034423",
            "telephone_number": "910-685-6928",
            "fax_number": "910-401-1810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 W. Ridge St.",
            "address_purpose": "LOCATION",
            "city": "Rose Hill",
            "state": "NC",
            "postal_code": "284580880",
            "country_code": "US",
            "telephone_number": "910-296-2610",
            "fax_number": "910-296-4410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKLESIMER",
        "first_name": "ZOYA",
        "credential": "LCAS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.