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 |
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Gender | Female |
Speciality | Counselor - Professional |
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 |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 0717000883 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | 0701001964 (Virginia) | Primary |
Entity Name | Commonwealth Counseling Associates Inc |
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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 |
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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 |
William C Kapfer, Counselor Medicare: Medicare Enrolled Practice Location: 11260 Roger Bacon Dr Ste 103, Reston, VA 20190 Phone: 855-284-7483 Fax: 617-807-0958 | |
Ms. Nancy Whiteley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11250 Roger Bacon Dr, Suite 7, Reston, VA 20191 Phone: 703-689-3537 | |
Mrs. Patricia Susan Small, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11250 Roger Bacon Dr, Suite 6, Reston, VA 20190 Phone: 703-403-9773 | |
Amanda Zuidema, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12007 Sunrise Valley Dr Ste 120, Reston, VA 20191 Phone: 508-663-3852 | |
Mary Bolton-owens, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12359 Sunrise Valley Dr, Suite 220, Reston, VA 20191 Phone: 301-620-9762 | |
Dr. Ruth A Freud, LCSW, PSY.D. Counselor Medicare: Accepting Medicare Assignments Practice Location: 11260 Roger Bacon Dr Ste 204, Reston, VA 20190 Phone: 703-435-7558 Fax: 571-446-3988 | |
Mrs. Jasmine Dearborn, LRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12007 Sunrise Valley Dr, Reston, VA 20191 Phone: 804-207-6737 |