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JACOB ZIMMERMAN
NPI 1922452507
Counselor - Professional in Minneapolis, MN

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
1915 LYNDALE AVE S, MINNEAPOLIS, MN 55403(800) 336-5973(612) 234-4689 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, Jun 14, 2016 (2 updates tracked since 2016).

About Jacob Zimmerman NPPES

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

JACOB ZIMMERMAN (NPI 1922452507) is an individual professional provider in Minneapolis, Minnesota and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Eagan, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922452507
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB ZIMMERMAN
Location Address1915 LYNDALE AVE SMinneapolis, MN 55403-3104
Mailing Address215 5th St Ne Apt.1gMinneapolis, MN 55413
Phone(800) 336-5973
Fax(612) 234-4689
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 20, 2016
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1922452507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1915 LYNDALE AVE S, Minneapolis, MN 55403
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Secondary Practice Location 1

Location 13450 O'leary Ln.Eagan, MN 55123 · Phone (651) 365-8224

Other Identifiers 1

Other1204License Lpcc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Zimmerman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840738522
PECOS Enrollment IDI20240813001117
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

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

WARD STILES MA, LPCC
Counselor (Professional)
1915 LYNDALE AVE S
MINNEAPOLIS, MN 55403
Hennepin County (651) 592-2887
REBEKAH GAIOVNIK MS, LPCC, LADC
Counselor (Professional)
1915 LYNDALE AVE S
MINNEAPOLIS, MN 55403
Hennepin County (800) 336-5973
CATALYST MENTAL HEALTH, GBC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1915 LYNDALE AVE S
MINNEAPOLIS, MN 55403
Hennepin County (800) 336-5973
ASHLEY M ANDERSON LMFT
Marriage & Family Therapist
1915 LYNDALE AVE S
MINNEAPOLIS, MN 55403
Hennepin County (800) 336-5973
REBECCA ELLEN KEMPENICH LMFT
Marriage & Family Therapist
1915 LYNDALE AVE S
MINNEAPOLIS, MN 55403
Hennepin County (800) 336-5973
BENJAMIN WAYNE RONNING LPCC
Counselor (Professional)
1915 LYNDALE AVE S
MINNEAPOLIS, MN 55403
Hennepin County (800) 336-5973
DAVID TOWNES MSW, LICSW, MBA
Social Worker (Clinical)
1915 LYNDALE AVE S
MINNEAPOLIS, MN 55403
Hennepin County (800) 336-5973
MARY KELLY KIRK-WILLENBRING MA, LPCC
Counselor (Professional)
1915 LYNDALE AVE S
MINNEAPOLIS, MN 55403
Hennepin County (800) 336-5973

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 Jacob Zimmerman's NPI number?

The NPI number for Jacob Zimmerman is 1922452507. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Jacob Zimmerman located?

Jacob Zimmerman practices at 1915 Lyndale Ave S, Minneapolis, MN 55403. The listed phone number is (800) 336-5973.

What is Jacob Zimmerman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacob Zimmerman enrolled in Medicare?

Yes. Jacob Zimmerman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Zimmerman accept?

Health plans from HealthPartners and Sanford Health Plan list Jacob Zimmerman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Zimmerman was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.