Individual provider Active NPI

Thomas Zimmerman

  • Professional Counselor
  • Warren, OH
National Provider Identifier
1760870760
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1600058 Issued in OH
Practice address
8577 E Market St
Warren, OH 44484-2345
Phone
(330) 856-6663
Fax
(330) 856-1581
NPI assigned
Dec 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1600058 OH Primary

Addresses

Primary practice location

8577 E Market St
Warren, OH 44484-2345

Mailing address

8577 E Market St
Warren, OH 44484-2345
Phone (330) 856-6663

Other practice location 1

520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone (330) 318-3078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216003457 OH Practitioner - Mental Health Counselor 1658715701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psy-Care, Inc.Group PAC ID 9335136795, 29 clinicians

Practice addresses (Care Compare)

520 Youngstown Poland Rd
Struthers, OH 44471-1103
Phone (330) 318-3078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psy-Care Inc CurrentSince Jan 3, 2024 Accepting new patients
Psycare, Inc. CurrentSince Jan 3, 2024 Accepting new patients

Locations

520 Youngstown Poland Rd
Struthers, OH 44471
Phone (330) 318-3078

8577 E Market St
Warren, OH 44484
Phone (330) 856-6663

3040 Belmont Ave
Ste C
Youngstown, OH 44505

2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-0276

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1760870760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8577 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842345",
            "telephone_number": "330-856-6663",
            "fax_number": "330-856-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8577 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842345",
            "telephone_number": "330-856-6663",
            "fax_number": "330-856-1581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Youngstown Poland Rd",
            "address_purpose": "LOCATION",
            "city": "Struthers",
            "state": "OH",
            "postal_code": "444711103",
            "country_code": "US",
            "telephone_number": "330-318-3078",
            "fax_number": "234-855-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-30",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1600058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.