Active NPI
Alishia Shiffon Zimmerman, LCPC
- Professional Counselor
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3205
- Practice address
- 3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231 - Phone
- (240) 696-9800
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005955 | VA | |
| Professional Counselor | 101YP2500X | LC3205 | MD | Primary |
Addresses
Primary practice location
3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231
Mailing address
5304 Riga St
Clinton, MD 20735-3637
Phone (301) 728-2888
Other practice location 1
4920 Belair Rd # 1C
Baltimore, MD 21206-5601
Phone (443) 567-6120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024017600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3261 Old Washington Rd
Suite 2020
Waldorf, MD 20602-3231
Phone (443) 567-6120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3205 | MD | MD | Professional Counselor |
| 0701005955 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talk to Me | Professional | Current | Accepting new patients |
| Perfected Medical Billing & Consulting Service | Past | Accepting new patients | |
| Perfected Medical Billing & Consulting Service Inc. | Past | Accepting new patients |
Locations
9135 Piscataway Rd
Ste 340
Clinton, MD 20735
Phone (301) 856-7445
3261 Old Washington Rd
Ste 2020
Waldorf, MD 20602
Phone (240) 419-2412
Organizations & group practices 3
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.
-
- Professional Counselor
- Waldorf, MD
- NPI 1982083952
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1972004935
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1235786609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1891925749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5304 RIGA ST",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353637",
"telephone_number": "301-728-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3261 OLD WASHINGTON RD STE 2020",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023231",
"telephone_number": "240-696-9800"
}
],
"practiceLocations": [
{
"address_1": "4920 Belair Rd # 1C",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212065601",
"country_code": "US",
"telephone_number": "443-567-6120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "ALISHIA",
"middle_name": "SHIFFON",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-24",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005955",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024017600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.