Active NPI
Peggie Dickens Zuckerman, M.A.
- Counselor
- Bainbridge Island, WA
National Provider Identifier
1306070081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RC00059415
- Practice address
- 200 Winston Way West
#340
Bainbridge Island, WA 98110 - Phone
- (206) 795-2336
- NPI assigned
- May 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00059415 | WA | Primary |
| Mental Health Counselor | 101YM0800X | RC00059415 | WA | |
| Marriage & Family Therapist | 106H00000X | RC00059415 | WA |
Addresses
Primary practice location
200 Winston Way West
#340
Bainbridge Island, WA 98110
Mailing address
200 Winston Way West
#340
Bainbridge Island, WA 98110
Phone (206) 795-2336
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00059415 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241740800000",
"number": "1306070081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WINSTON WAY WEST",
"address_2": "#340",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "98110",
"telephone_number": "206-795-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WINSTON WAY WEST",
"address_2": "#340",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "98110",
"telephone_number": "206-795-2336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKERMAN",
"first_name": "PEGGIE",
"middle_name": "DICKENS",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-08",
"last_updated": "2009-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC00059415",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00059415",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "RC00059415",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.