Individual provider Active NPI

Ingrid Elena Zimmermann, MFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1881731461
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 34661 Issued in CA
Practice address
2919 Mission St
San Francisco, CA 94110-3917
Phone
(415) 229-0500
Fax
(415) 647-3662
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 34661 CA Primary

Addresses

Primary practice location

2919 Mission St
San Francisco, CA 94110-3917

Mailing address

725 Corbett Ave Apt 10
San Francisco, CA 94131-1358
Phone (415) 254-3935

Other identifiers 1

IdentifierTypeStateIssuer
MFT34661OtherCAMARRIAGE AND FAMILY THER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241021003106 CA Practitioner - Marriage and Family Therapist 2961934542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Area Health AssociatesGroup PAC ID 1153302419, 21 clinicians

Practice addresses (Care Compare)

240 Shotwell St
San Francisco, CA 94110-1323
Phone 41558268172548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT 34661CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Area Health Associates Current Accepting new patients

Locations

240 Shotwell St
San Francisco, CA 94110
Phone (415) 552-1013

1580 Valencia St
Ste 506
San Francisco, CA 94110
Phone (415) 641-6500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881731461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CORBETT AVE APT 10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941311358",
            "telephone_number": "415-254-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103917",
            "telephone_number": "415-229-0500",
            "fax_number": "415-647-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "INGRID",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 34661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY  THER",
            "identifier": "MFT34661",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.