Individual provider Active NPI

Daniel Zacarias Messiter

  • Marriage & Family Therapist
  • Puyallup, WA
National Provider Identifier
1073284485
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT126893 Issued in CA
Practice address
3911 9TH St SW Ste A211
Puyallup, WA 98373-5946
Phone
(800) 273-8255
NPI assigned
Sep 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT126893 CA Primary
Mental Health Counselor 101YM0800X MC61202720 WA

Addresses

Primary practice location

3911 9TH St SW Ste A211
Puyallup, WA 98373-5946

Mailing address

35 18TH St
Cayucos, CA 93430-1401
Phone (831) 345-3274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC61202720WAMDMental Health Counselor
AMFT126893CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1073284485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 18TH ST",
            "city": "CAYUCOS",
            "state": "CA",
            "postal_code": "934301401",
            "telephone_number": "831-345-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 9TH ST SW STE A211",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735946",
            "telephone_number": "800-273-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSITER",
        "first_name": "DANIEL",
        "middle_name": "ZACARIAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT126893",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61202720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.