MELISSA MARIE ZIMMERMAN SUDPT
NPI 1083593644
Counselor - Addiction (Substance Use Disorder) in Lynnwood, WA

Active since August 28, 2025
2322 196TH ST SW, LYNNWOOD, WA 98036(425) 984-0788 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Marie Zimmerman Sudpt NPPES

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

MELISSA MARIE ZIMMERMAN SUDPT (NPI 1083593644) is an individual addiction (substance use disorder) provider in Lynnwood, Washington, licensed in Washington (CO6152115) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1083593644
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMELISSA MARIE ZIMMERMANCredential: SUDPT
Location Address2322 196TH ST SWLynnwood, WA 98036-7010
Mailing Address17503 25th Ave Ne Unit P107Marysville, WA 98271-4845
Sole ProprietorYes
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1083593644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CO6152115
2322 196TH ST SW, Lynnwood, WA 98036

Other Names 1

Former Name (1)Melissa Marie Perniciaro Sudpt

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

Counselor (Addiction (Substance Use Disorder))
2322 196TH ST SW
LYNNWOOD, WA 98036
Licensed Practical Nurse
2322 196TH ST SW
LYNNWOOD, WA 98036
Licensed Vocational Nurse
2322 196TH ST SW
LYNNWOOD, WA 98036
Counselor (Addiction (Substance Use Disorder))
2322 196TH ST SW
LYNNWOOD, WA 98036
Licensed Practical Nurse
2322 196TH ST SW
LYNNWOOD, WA 98036
Licensed Practical Nurse
2322 196TH ST SW
LYNNWOOD, WA 98036
Counselor (Addiction (Substance Use Disorder))
2322 196TH ST SW
LYNNWOOD, WA 98036
Licensed Vocational Nurse
2322 196TH ST SW
LYNNWOOD, WA 98036

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 Melissa Zimmerman's NPI number?

The NPI number for Melissa Zimmerman is 1083593644. It was assigned to this individual provider in the NPPES registry on August 28, 2025. The provider is also known as Melissa Marie Perniciaro Sudpt.

Where is Melissa Zimmerman located?

Melissa Zimmerman practices at 2322 196th St SW, Lynnwood, WA 98036. The listed phone number is (425) 984-0788.

What is Melissa Zimmerman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Melissa Zimmerman was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.