Individual provider Active NPI

Deborah M Metzler, LMHC, NCC

  • Mental Health Counselor
  • Tacoma, WA
National Provider Identifier
1376721910
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60191797 Issued in WA
Practice address
2121 S 19TH St
Tacoma, WA 98405-2922
Phone
(253) 396-1634
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LH 60191797 WA
Professional Counselor 101YP2500X LH60191797 WA
Mental Health Counselor 101YM0800X LH60191797 WA Primary

Addresses

Primary practice location

2121 S 19TH St
Tacoma, WA 98405-2922

Mailing address

2121 S 19TH St
Tacoma, WA 98405-2922
Phone (253) 396-1634

Other practice location 1

2704 I St NE
Auburn, WA 98002-2411
Phone (253) 632-9746

Other identifiers 1

IdentifierTypeStateIssuer
1994250MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118004785 WA Practitioner - Mental Health Counselor 2264884857 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH 60191797WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 5, 2024 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 5, 2024 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients

Locations

700 Lilly Rd NE
Olympia, WA 98506
Phone (360) 923-7000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: dmetzler196687@ghc.direct-ci.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376721910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052922",
            "telephone_number": "253-396-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052922",
            "telephone_number": "253-396-1634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2704 I St NE",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980022411",
            "country_code": "US",
            "telephone_number": "253-632-9746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZLER",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "credential": "LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH 60191797",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH60191797",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60191797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994250",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.