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

Active since April 15, 2011PECOS Enrolled
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: November 01, 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.

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
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, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susannah Song Misiaszek Lmhc, Sudp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Susannah Misiaszek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Puyallup Tribal Health Authority
6.5 mi
Primary Care
2209 E 32ND ST
Tacoma, WA 98404
  • Reassigned Medicare billing, Washington enrollment
  • 55 clinicians in this Medicare group
NPI 1063455665 (253) 593-0232
Cowlitz Indian Tribe
74 mi
Clinic/Center
1044 11TH AVE
Longview, WA 98632
  • Reassigned Medicare billing, Texas enrollment
  • 44 clinicians in this Medicare group
NPI 1740562909 (360) 575-8275

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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 enrollment system.

Which organizations bill Medicare for Susannah Misiaszek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susannah Misiaszek reassigns Medicare benefits to 2 organizations: Puyallup Tribal Health Authority (Tacoma, WA) and Cowlitz Indian Tribe (Longview, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susannah Misiaszek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susannah Misiaszek accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.