ZULEIKA PROVSTGAARD
NPI 1902604176
Peer Specialist in Omak, WA

Active since March 04, 2025

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zuleika Provstgaard NPPES

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

ZULEIKA PROVSTGAARD (NPI 1902604176) is an individual peer specialist in Omak, Washington, licensed in (CG61653497) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1902604176
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameZULEIKA PROVSTGAARD
Location Address1007 KOALA DROmak, WA 98841-9247
Mailing Address1007 Koala DrOmak, WA 98841-9247
Sole ProprietorNo
Enumeration DateMarch 4, 2025
NPPES CertifiedMarch 4, 2025
NPI 1902604176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed · CG61653497
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselorTaxonomy 101Y00000X
1007 KOALA DR, Omak, WA 98841

Other Providers at the Same Location NPPES 20

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

Peer Specialist
1007 KOALA DR
OMAK, WA 98841
Counselor
1007 KOALA DR
OMAK, WA 98841
Counselor
1007 KOALA DR
OMAK, WA 98841
Social Worker
1007 KOALA DR
OMAK, WA 98841
Counselor
1007 KOALA DR
OMAK, WA 98841
Peer Specialist
1007 KOALA DR
OMAK, WA 98841
Counselor (Mental Health)
1007 KOALA DR
OMAK, WA 98841
Counselor
1007 KOALA DR
OMAK, WA 98841

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 Zuleika Provstgaard's NPI number?

The NPI number for Zuleika Provstgaard is 1902604176. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Zuleika Provstgaard located?

Zuleika Provstgaard practices at 1007 Koala Dr, Omak, WA 98841. The listed phone number is (509) 826-6191.

What is Zuleika Provstgaard's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Zuleika Provstgaard was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.