JACOB ZIMMERMAN


Address: 3450 O'leary Ln., Eagan, MN 55123
Phone: 6513658224

JACOB ZIMMERMAN (NPI# 1922452507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922452507
Entity Type Individual
Full Name JACOB ZIMMERMAN
Practice Address 3450 O'leary Ln.
Eagan
MN 55123
Mailing Address 215 5th St Ne Apt.1g
Minneapolis
MN 55413
Practice Telephone 6513658224
Enumeration Date 2016-04-20
Last Update Date 2016-06-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
LICENSE LPCC 1204 01

Other Providers JACOB ZIMMERMAN

NPI Name Taxonomy Address Enumeration
1154838423 Jacob Cannon Zimmerman Behavior Technician 1351 Collyer St, Longmont, CO 80501-3310 2018-01-08
1114178035 Jacob P Zimmerman Pharmacist 400 Wabash Ave, Attn: Pharmacy, Akron, OH 44307-2433 2008-10-09

Office Location

Street Address 3450 O'LEARY LN.
City EAGAN
State MN
Zip Code 55123

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053828467 Hilltop Family Chiropractic Center Pa Chiropractor 1121 Town Centre Drive Suite 202, Eagan, MN 55123 2018-01-08
1316320971 K-squared Fitness, L.L.C. Public Health or Welfare 1100 Cliff Rd, Eagan, MN 55123 2015-07-01
1346683687 Joshua M Dorn Allergy & Immunology 3460 Promenade Ave, Eagan, MN 55123 2013-04-16
1700172350 Mary Christine Mcnabney Nurse Practitioner 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 2011-06-22
1033353669 Todd Borstad Social Worker 3450 O'leary Lane, Eagan, MN 55123 2009-04-27
1821025271 Mngi Endoscopy LLC Clinic/Center 1185 Town Centre Drive, Eagan, MN 55123 2006-06-28
1780620120 Cindy Eileen Wood Audiologist 3440 Oleary Lane, 240, Eagan, MN 55123 2006-06-22
1609845742 Jeffery R Dichter Internal Medicine 849 Govern Circle, Saint Paul, MN 55123 2006-03-14
1891269155 Elise Broderick Quam Social Worker 3450 Oleary Ln, Eagan, MN 55123 2019-01-18
1699299065 Jessica Ellen Gerhan Counselor 3450 Oleary Ln, Eagan, MN 55123 2017-07-27
Find all providers in zip 55123

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487278172 Eagancare Behavioral Health Services LLP. Counselor 1766 Gabbro Trl, Eagan, MN 55122-2919 2020-05-29
1790295459 Kathryn Susan Kettler Counselor 3460 Washington Dr Ste 110, Eagan, MN 55122-4301 2017-10-09
1831541168 Mackenzie Lea Kerber Counselor 3410 Federal Dr Suite 101, Eagan, MN 55122 2016-07-11
1720365950 Maureen Ann James Counselor 3440 Golfview Dr, #308, Eagan, MN 55123-2439 2011-11-16
1073707147 Timothy J. Ruden Counselor 4640 Slater Rd Ste 120, Eagan, MN 55122-4043 2007-08-31
1588726806 Mary Anna Palmer Counselor 4141 Old Sibley Memorial Hwy, Eagan, MN 55122-1996 2006-12-14
1407943087 Behavior Solutions Plus, Pa Counselor 1301 Corporate Center Dr, Suite 116, Eagan, MN 55121-1298 2006-10-06
1437787488 Mackenzie Turk Counselor 3460 Washington Dr Ste 110, Eagan, MN 55122-4301 2020-03-27
1952942476 Emily J Holton Counselor 3450 Oleary Ln, Eagan, MN 55123-2340 2019-10-06
1407404296 Sarah Nides Counselor 3440 Federal Dr Ste 150, Eagan, MN 55122-3516 2019-08-27
Find all providers in EAGAN

Competitor

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City EAGAN
Zip Code 55123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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