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ELISE ZIMMERMAN LMFT
NPI 1033645908
Marriage & Family Therapist in Saint Paul, MN

Active since May 11, 2017Opted out of Medicare · through Jan 24, 2028
1595 SELBY AVE STE 208, SAINT PAUL, MN 55104(651) 243-0623(651) 321-2558 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 23, 2020, Aug 16, 2020, Feb 22, 2020 and 2 more (5 updates tracked since 2017).

About Elise Zimmerman Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISE ZIMMERMAN LMFT (NPI 1033645908) is an individual marriage & family therapist in Saint Paul, Minnesota, licensed in Minnesota (3561) and active in the NPI registry since May 2017. She has opted out of Medicare through January 24, 2028.

NPPES Registry Identity

NPI1033645908
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameELISE ZIMMERMANCredential: LMFT
Location Address1595 SELBY AVE STE 208Saint Paul, MN 55104-4528
Mailing Address1595 Selby Ave Ste 208Saint Paul, MN 55104-4528 · (651) 243-0623 · Fax (651) 321-2558
Phone(651) 243-0623
Fax(651) 321-2558
Sole ProprietorYes
Enumeration DateMay 11, 2017
Last NPPES UpdateSeptember 23, 20205 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
✔ NPI 1033645908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in MN · 3561✔ Licensed in WI · 587-228
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1595 SELBY AVE STE 208, Saint Paul, MN 55104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Elise Zimmerman Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 24, 2024 through January 24, 2028.

Opt-Out Effective DateJanuary 24, 2024
Opt-Out In Effect ThroughJanuary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Zimmerman's NPI number?

The NPI number for Elise Zimmerman is 1033645908. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Elise Zimmerman located?

Elise Zimmerman practices at 1595 Selby Ave Ste 208, Saint Paul, MN 55104. The listed phone number is (651) 243-0623.

What is Elise Zimmerman's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Elise Zimmerman enrolled in Medicare?

No. Elise Zimmerman has opted out of Medicare through January 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Elise Zimmerman was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.