Holly L Zettel

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SC61105525 Issued in WA

Practice address

3901 S Fife St Ste 301
Tacoma, WA 98409-7309

Phone

(253) 589-5334

NPI assigned

Oct 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1053910695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11719 9TH AVENUE CT E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984451700",
            "telephone_number": "253-754-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S FIFE ST STE 301",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097309",
            "telephone_number": "253-589-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTEL",
        "first_name": "HOLLY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC61105525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Zepeda
• Lizette Zermeno, RN
• Benjamin Zerngast, MD
• Maria Lyne Doctor Zeta
• Kimberlee Jane Zetocha, PH.D.
• Bobby Zhang, MD
• David Yi Zhang, M.D.
• Li Zhang, M.D.
• Raymond Zhang, MD
• Vicky Qianru Zhang

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.