Individual provider Active NPI

Kara Lynn Zimmerman, MS, LMFT, LCPC, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1811169782
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0012176 Issued in CO
Practice address
731 N Weber St
Suite 251
Colorado Springs, CO 80903-1049
Phone
(630) 306-2319
Fax
(630) 358-7293
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180005113 IL
Marriage & Family Therapist 106H00000X 166000513 IL
Professional Counselor 101YP2500X 0012176 CO Primary

Addresses

Primary practice location

731 N Weber St
Suite 251
Colorado Springs, CO 80903-1049

Mailing address

3245 Honeyburyl Dr
Colorado Springs, CO 80918-4780
Phone (630) 306-2319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20231215001176 CO Practitioner - Marriage and Family Therapist 4183073133 Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

731 N Weber St
Suite 251
Colorado Springs, CO 80903-1070
Phone (630) 306-2319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0012176COMDProfessional Counselor
180005113ILMDProfessional Counselor
166000513ILMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1811169782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HONEYBURYL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184780",
            "telephone_number": "630-306-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N WEBER ST",
            "address_2": "SUITE 251",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031049",
            "telephone_number": "630-306-2319",
            "fax_number": "630-358-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KARA",
        "middle_name": "LYNN",
        "credential": "MS, LMFT, LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005113",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000513",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0012176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.