Individual provider Active NPI

Kimberly Zeuggin, LPC

  • Mental Health Counselor
  • Southampton, PA
National Provider Identifier
1851820930
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
504 Lakeside Park
Southampton, PA 18966-4078
Phone
(215) 354-0777
NPI assigned
Jun 12, 2017
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC013100 PA
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

504 Lakeside Park
Southampton, PA 18966-4078

Mailing address

504 Lakeside Park
Southampton, PA 18966-4078
Phone (267) 596-2887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240205003110 PA Practitioner - Mental Health Counselor 3375905904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Care ConnectionGroup PAC ID 8628982386, 8 clinicians

Practice addresses (Care Compare)

2200 Michener St
Suite 20
Phila, PA 19115-4374
Phone (215) 331-3200

504 Lakeside Park
Southampton, PA 18966-4078
Phone (215) 354-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC013100PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Psychotherapy Services CurrentSince Apr 27, 2026 Accepting new patients
Care Connection Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

2200 Michener St
Ste 20
Philadelphia, PA 19115

504 Lakeside Park
Southampton, PA 18966
Phone (215) 354-0777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1851820930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LAKESIDE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664078",
            "telephone_number": "267-596-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 LAKESIDE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664078",
            "telephone_number": "215-354-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEUGGIN",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC013100",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.