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SUSANNAH SONG MISIASZEK LMHC, SUDP
NPI 1063702678
Counselor - Mental Health in Tacoma, WA

Active since April 15, 2011PECOS EnrolledAccepts Medicare Assignment
12201 PACIFIC AVE S, TACOMA, WA 98444(253) 238-7260 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susannah Song Misiaszek Lmhc, Sudp NPPES

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

SUSANNAH SONG MISIASZEK LMHC, SUDP (NPI 1063702678) is an individual mental health provider in Tacoma, Washington and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1063702678
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSANNAH SONG MISIASZEKCredential: LMHC, SUDP
Location Address12201 PACIFIC AVE STacoma, WA 98444-5126
Mailing Address12201 Pacific Ave STacoma, WA 98444-5126 · (253) 238-7260
Phone(253) 238-7260
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 15, 2011
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1063702678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
12201 PACIFIC AVE S, Tacoma, WA 98444
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Susannah Song Misiaszek Lmhc, Sudp 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 ID6204275522
PECOS Enrollment IDI20250804001318
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 14

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

MS. KIMBERLY ELIZABETH SPARKS CDP
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425
JAIME JEWELL CPSS
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 444-2395
ZACHARY GRAHAM DE VAHL MONTOYA LEWIS
Counselor (Mental Health)
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 378-1464
MS. DEBORAH KAYE BROWN CDP-T
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425
MS. JESSICA DON MARIE VANDEWATER CO61661625
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 550-9058
ALEX DANIEL ROBERTS SUDPT
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 550-9058
MATTHEW EHLER LICSW
Social Worker (Clinical)
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 617-5620
AMANDA DAWN KIDNEY
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425

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 Susannah Misiaszek's NPI number?

The NPI number for Susannah Misiaszek is 1063702678. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Susannah Misiaszek located?

Susannah Misiaszek practices at 12201 Pacific Ave S, Tacoma, WA 98444. The listed phone number is (253) 238-7260.

What is Susannah Misiaszek's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Susannah Misiaszek enrolled in Medicare?

Yes. Susannah Misiaszek 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 Susannah Misiaszek accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Susannah Misiaszek 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 Susannah Misiaszek was last updated on January 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.