Sandy Joann Zimmerman

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.183649 Issued in OH

Practice address

8308 Ohio River Rd
Wheelersburg, OH 45694-1714

Phone

(740) 529-1201

Fax

(740) 876-8854

NPI assigned

May 18, 2023

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

• Sandy Joann Zimmerman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cardinal Treatment Centers Piketon, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chillicothe, OH
  • NPI 1194432591
  NPD (past)
• Cardinal Treatment Centers Piketon, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chillicothe, OH
  • NPI 1730899360
  NPD (past)

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1790476877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 OHIO RIVER RD",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941714",
            "telephone_number": "740-529-1201",
            "fax_number": "740-876-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 OHIO RIVER RD",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941714",
            "telephone_number": "740-529-1201",
            "fax_number": "740-876-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "SANDY",
        "middle_name": "JOANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.183649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDY",
            "last_name": "ZIMMERMAN",
            "middle_name": "JOANN",
            "credential": "CDCA.183649",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brady A Womack
• Marcell R Woods
• Worth Your Wellness, LLC
• Larry David Wright II, D.D.S.
• Wayne E. Young, M.D.

• Addiction (Substance Use Disorder) Counselor in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.