| Mary S Zimomra, LPC, LMFT | |
|
12007 Sunrise Valley Dr Ste 300, Reston, VA 20191-3446 | |
| (804) 207-6737 | |
| Not Available |
| Full Name | Mary S Zimomra |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 12007 Sunrise Valley Dr Ste 300, Reston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780770537 | NPI | - | NPPES |
| 30015390670007 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701001964 (Virginia) | Secondary |
| 106H00000X | Marriage & Family Therapist | 0717000883 (Virginia) | Primary |
| Entity Name | Commonwealth Counseling Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851345805 PECOS PAC ID: 0941288583 Enrollment ID: O20040710000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary S Zimomra, LPC, LMFT 12007 Sunrise Valley Dr Ste 300, Reston, VA 20191-3446 Ph: (804) 207-6737 | Mary S Zimomra, LPC, LMFT 12007 Sunrise Valley Dr Ste 300, Reston, VA 20191-3446 Ph: (804) 207-6737 |
Jamie Kanter, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11415 Isaac Newton Square South, Reston, VA 20190 Phone: 703-672-3978 | |
Ms. Beth Ann Flaherty, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2422 Silver Fox Ln, Reston, VA 20191 Phone: 703-537-8100 | |
Christina Puterbaugh, MS, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11260 Roger Bacon Dr Ste 103, Reston, VA 20190 Phone: 703-635-3514 | |
Molly A Jakubek, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1850 Cameron Glen Dr, Reston, VA 20190 Phone: 703-481-4100 | |
John Millikin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1984 Isaac Newton Sq W, 204, Reston, VA 20190 Phone: 703-464-9700 Fax: 703-464-8669 | |
Lawrence Uman, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1616 Wainwright Dr, Reston, VA 20190 Phone: 703-868-5947 Fax: 703-391-7381 | |
Courtney Parker, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11890 Sunrise Valley Drive, Reston, VA 20191 Phone: 703-508-2133 |