MR. RYAN ZIMMERMAN LAC
NPI 1255805131
Counselor - Mental Health in Goodyear, AZ

Active since January 14, 2019
15655 W ROOSEVELT ST, GOODYEAR, AZ 85338(623) 451-5917 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2025, Jan 14, 2019 (2 updates tracked since 2019).

About Mr. Ryan Zimmerman Lac NPPES

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

MR. RYAN ZIMMERMAN LAC (NPI 1255805131) is an individual mental health provider in Goodyear, Arizona, licensed in Arizona (LAC-17247) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1255805131
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. RYAN ZIMMERMANCredential: LAC
Location Address15655 W ROOSEVELT STGoodyear, AZ 85338-9282
Mailing AddressPo Box 7405Goodyear, AZ 85338-0641 · (623) 337-2275
Sole ProprietorNo
Enumeration DateJanuary 14, 2019
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
NPI 1255805131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AZ · LAC-17247
15655 W ROOSEVELT ST, Goodyear, AZ 85338

Other Providers at the Same Location NPPES 3

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

Psychologist (Clinical)
15655 W ROOSEVELT ST, STE 243
GOODYEAR, AZ 85338
Psychologist (Clinical)
15655 W ROOSEVELT ST, SUITE 243
GOODYEAR, AZ 85338
Chiropractor (Nutrition)
15655 W ROOSEVELT ST, SUITE 108
GOODYEAR, AZ 85338

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 Ryan Zimmerman's NPI number?

The NPI number for Ryan Zimmerman is 1255805131. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Ryan Zimmerman located?

Ryan Zimmerman practices at 15655 W Roosevelt St, Goodyear, AZ 85338. The listed phone number is (623) 451-5917.

What is Ryan Zimmerman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ryan Zimmerman was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.