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JORDAN MARCUS ZIMMERMAN
NPI 1225855422
Counselor in Charleston, SC

Active since September 20, 2024
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 852-4100 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2025, Sep 20, 2024 (2 updates tracked since 2024).

About Jordan Marcus Zimmerman NPPES

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

JORDAN MARCUS ZIMMERMAN (NPI 1225855422) is an individual counselor in Charleston, South Carolina and active in the NPI registry since September 2024. He maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1225855422
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJORDAN MARCUS ZIMMERMAN
Location Address2100 CHARLIE HALL BLVDCharleston, SC 29414-5832
Mailing Address2100 Charlie Hall Blvd # 113Charleston, SC 29414-5832 · (843) 852-4100
Phone(843) 852-4100
Sole ProprietorNo
Enumeration DateSeptember 20, 2024
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1225855422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2100 CHARLIE HALL BLVD, Charleston, SC 29414
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Secondary Practice Location 1

Location 13255 Landmark Dr Ste 206Charleston, SC 29418-8573 · Phone (803) 318-9826 ext. 80326

Other Identifiers 1

Medicaid1760596480SC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON N RITZERT RN
Registered Nurse
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 852-4100
JOYCE A BROWN
Counselor (Mental Health)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 852-4100
CHERYL S WRIGHT
Counselor (Mental Health)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 852-4100
TIFFANY RICHARDSON
Counselor (Mental Health)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 852-4100
QUANESHIA REED
Registered Nurse
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 852-4100
REBECCA WINSTEAD LMSW
Counselor (Mental Health)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 852-4100
MR. IAN RIVERS BUTLER
Counselor (Mental Health)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 852-4100
CONSTANCE REDD
Counselor (Mental Health)
2100 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 852-4100

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 Jordan Zimmerman's NPI number?

The NPI number for Jordan Zimmerman is 1225855422. It was assigned to this individual provider in the NPPES registry on September 20, 2024.

Where is Jordan Zimmerman located?

Jordan Zimmerman practices at 2100 Charlie Hall Blvd, Charleston, SC 29414. The listed phone number is (843) 852-4100.

What is Jordan Zimmerman's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jordan Zimmerman was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.