ZANDRA A ZIMMERMAN MC
NPI 1568578755
Counselor - Mental Health in Monroe, WA
NPI Status: Active since August 21, 2006
Contact Information
125 E MAIN ST
SUITE 203
MONROE, WA
ZIP 98272
Phone: (360) 794-4830
Fax: (360) 793-6737
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- Opted-Out Medicare
About ZANDRA ZIMMERMAN
This page provides the complete NPI Profile along with additional information for Zandra Zimmerman, a provider established in Monroe, Washington with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1568578755 assigned on August 2006. The practitioner's primary taxonomy code is 101YM0800X with license number LH00004973 (WA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1568578755
- Provider Name
- ZANDRA A ZIMMERMAN MC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 125 E MAIN ST SUITE 203 MONROE, WA 98272
- Location Phone
- (360) 794-4830
- Location Fax
- (360) 793-6737
- Mailing Address
- 125 E MAIN ST SUITE 203 MONROE, WA 98272
- Mailing Phone
- (360) 794-4830
- Mailing Fax
- (360) 793-6737
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-21-2006
- Last Update Date
- 09-06-2023
- Code Navigator
A mental health counselor like Zandra Zimmerman provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Zandra Zimmerman opted out of Medicare effective on 01-22-2024 until 01-22-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LH00004973
- License State
- WA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-22-2024
Opt-Out End Date: 01-22-2026
Eligible to Order and Refer? No
Reviews for ZANDRA A ZIMMERMAN MC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 5 | 7 | 8 | 7 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 10 | 7 | 16 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 0 + 7 + 1 + 6 + 7 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1568578755 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
MS. WENDY HILLAND ANDERSON MA LMHC
Counselor
(Mental Health)
125 E MAIN ST
STE. 203
MONROE, WA
ZIP 98272
NANCY WAGNER LEONARDSON M.A. AND L.M.H.C..
Counselor
(Mental Health)
125 E MAIN ST
SUITE 201
MONROE, WA
ZIP 98272
MS. SUSANNE MARIA WICHERT MA, LMHC
Counselor
(Mental Health)
125 E MAIN ST
SUITE 201
MONROE, WA
ZIP 98272
ANNIE MARIE MARASHI REDD LMFT, MA, MED
Marriage & Family Therapist
125 E MAIN ST
SUITE 203
MONROE, WA
ZIP 98272
KATHERINE MARIE REYNOLDS LMHCA
Counselor
(Professional)
125 E MAIN ST
#203
MONROE, WA
ZIP 98272
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568578755, enumerated as an "individual" on August 21, 2006.
The provider is located at 125 E MAIN ST SUITE 203 MONROE, WA 98272 and the phone number is (360) 794-4830.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: PacificSource Health Plans and Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.
