Active NPI
Ariel Zuckerman
- Addiction (Substance Use Disorder) Counselor
- Yakima, WA
National Provider Identifier
1770133233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP61196935
- Practice address
- 120 S 3Rd St
Yakima, WA 98901-2875 - Phone
- (509) 248-1800
- NPI assigned
- Sep 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP61196935 | WA | Primary |
Addresses
Primary practice location
120 S 3Rd St
Yakima, WA 98901-2875
Mailing address
220 Bishop Pine CT
Santa Rosa, CA 95403-7842
Phone (347) 415-7182
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | azuckerman@daacmail.org | Drug Abuse Alternatives Center |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP61196935 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drug Abuse Alternatives Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Methadone Clinic
- Santa Rosa, CA
- NPI 1629289152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1770133233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 BISHOP PINE CT",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954037842",
"telephone_number": "347-415-7182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S 3RD ST",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012875",
"telephone_number": "509-248-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKERMAN",
"first_name": "ARIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-17",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP61196935",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "azuckerman@daacmail.org",
"affiliation": "Y",
"affiliationName": "Drug Abuse Alternatives Center",
"address_1": "2403 Professional Dr Ste 103",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954033007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.