Zeteo Ministries

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ZETEO MINISTRIES

Practice address

15619 16TH Ave NW
Marysville, WA 98271-8197

Phone

(360) 230-8482

Fax

(425) 548-1734

NPI assigned

Jun 10, 2022

Organization subpart

No

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

Authorized official

Name

Daniel Richard RobersonNPI 1659040368

Title

Director

Phone

(360) 230-8482

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 2

• Edify Mental Health Doing business as
• Zeteo Laity for the Kingdom Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Richard Roberson, LMHC

  • Mental Health Counselor
  • Arlington, WA
  • NPI 1659040368
  Medicare reassignment NPD Authorized official
• Christopher John Maier, LMHC

  • Mental Health Counselor
  • Arlington, WA
  • NPI 1588704357
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1124757414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13431 56TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982717758",
            "telephone_number": "360-230-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15619 16TH AVE NW",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718197",
            "telephone_number": "360-230-8482",
            "fax_number": "425-548-1734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "WA",
            "postal_code": "982231119",
            "country_code": "US",
            "telephone_number": "360-230-8482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13431 56th Dr NE",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982717758",
            "country_code": "US",
            "telephone_number": "425-760-6534",
            "fax_number": "425-548-1734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Columbia Ave Ste 253",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982704306",
            "country_code": "US",
            "telephone_number": "425-760-6534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 N Commercial St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982254446",
            "country_code": "US",
            "telephone_number": "425-760-6534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 N Olympic Ave",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "WA",
            "postal_code": "982231335",
            "country_code": "US",
            "telephone_number": "360-230-8482",
            "fax_number": "425-548-1734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZETEO MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-230-8482"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G9084664",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2189382",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edify Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edify Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zeteo Laity for the Kingdom",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miya Yi, DNP, FNP-BC
• James William York
• Hyun Jin You
• Maxwell M Zamzow, ARNP
• Deidre D Zeh-Rahk
• Tyler Ziebarth, MA, MHP, LMHCA
• Brooke Ziegler, OTR/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marysville, WA
• Providers in Marysville, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.