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NATHAN J ZICCARELLI
NPI 1790465300
Counselor - Addiction (Substance Use Disorder) in West Allis, WI

Active since July 19, 2023
2814 S 108TH ST STE 100, WEST ALLIS, WI 53227(414) 885-3525 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2026, Jul 19, 2023 (2 updates tracked since 2023).

About Nathan J Ziccarelli NPPES

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

NATHAN J ZICCARELLI (NPI 1790465300) is an individual addiction (substance use disorder) provider in West Allis, Wisconsin, licensed in Wisconsin (20195-130) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1790465300
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameNATHAN J ZICCARELLI
Location Address2814 S 108TH ST STE 100West Allis, WI 53227-3224
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886
Phone(414) 885-3525
Sole ProprietorNo
Enumeration DateJuly 19, 2023
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1790465300 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 WI · 20195-130
2814 S 108TH ST STE 100, West Allis, WI 53227
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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 Nathan Ziccarelli's NPI number?

The NPI number for Nathan Ziccarelli is 1790465300. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Nathan Ziccarelli located?

Nathan Ziccarelli practices at 2814 S 108th St Ste 100, West Allis, WI 53227. The listed phone number is (414) 885-3525.

What is Nathan Ziccarelli'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 Nathan Ziccarelli was last updated on March 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.