Kathy A Zimmerman, LPC, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2697 Issued in OR

Practice address

4536 NE 116TH Ave
Portland, OR 97220-1419

Phone

(503) 833-2652

NPI assigned

Nov 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1322352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322352000000",
    "number": "1861769473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 NE 197TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972307972",
            "telephone_number": "503-833-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 NE 116TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972201419",
            "telephone_number": "503-833-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KATHY",
        "middle_name": "A",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-27",
        "last_updated": "2011-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60224180",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "LH60224180",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "C2697",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12306439",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Nelson Zimmerman, PSY.D., M.A.
• Christina Lynn Zimmerman, MA,ATR, LPC
• David Zimmerman, LPC-I
• Eric Zimmerman
• Judy Zimmerman, PHARM.D.
• Mazzy Zimmerman
• Monica B. Zimmerman, LAC.
• Paul Michael Zimmerman, M.D.
• Ryan Zimmerman, PHARMD
• Sara Zimmerman

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2011; 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.