Mark L Zimmerman, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00011079 Issued in WA

Practice address

2610 N Alder St
Tacoma, WA 98407-6221

Phone

(206) 954-6776

Fax

(253) 756-9782

NPI assigned

Mar 16, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1841431152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 N ALDER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984076221",
            "telephone_number": "206-954-6776",
            "fax_number": "253-756-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 N ALDER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984076221",
            "telephone_number": "206-954-6776",
            "fax_number": "253-756-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2060832",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Jude Zima, M.D.
• Gregory George Zimmer, DDS
• Emily Vonne Zimmerman, PSY.D.
• Erin Dawn Zimmerman, LMP
• Jack Zimmerman
• Ruby Delores Zimmerman
• Zindt Chiropractic Center PLLC
• John Stephen Zindt, DC
• Penelope S. Zindt, D.C.
• Sarah Louise Zindt, DC

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.