Individual provider Active NPI

Alishia Shiffon Zimmerman, LCPC

  • Professional Counselor
  • Waldorf, MD
National Provider Identifier
1891925749
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3205 Issued in MD
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

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
024017600MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017001647 MD Practitioner - Mental Health Counselor 3870934490 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LC3205MDMDProfessional Counselor
0701005955VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Talk to Me Professional CurrentSince Oct 1, 2024 Accepting new patients
Perfected Medical Billing & Consulting Service Past Accepting new patients
Perfected Medical Billing & Consulting Service Inc. PastSince Dec 29, 2024 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.

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

Verify at the official NPI Registry.