Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902604176 Individual Practitioner Female Practitioner

Zuleika Provstgaard

Peer Specialist • Omak, WA

Professional Overview & Biography Verified Profile Summary

Zuleika Provstgaard is a registered healthcare professional specializing in Peer Specialist in Omak, WA. Practice services are available at 1007 KOALA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1007 Koala Dr

Omak, WA 988419247

Telephone 5098266191
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Omak, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Omak, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-04
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License None CG61653497

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tiawana Dickerson

Peer Specialist

NPI 1003585308
Shari Goodson , MSW

Counselor - Mental Health

NPI 1013382647

Master of Social Work

NPI 1013517952
NPI 1013656818
Danita Baez , MSW

Social Worker

NPI 1023568359

Master of Social Work

Roger Bauer

Counselor - Professional

NPI 1033262167

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 04, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2025

Registered at 1007 KOALA DR, OMAK, WA 988419247 (Tel: 5098266191)

📍
Updated Business Mailing Address March 04, 2025

Registered at 1007 KOALA DR, OMAK, WA 988419247

👤
Provider Name / Credentials Updated March 04, 2025

Recorded as ZULEIKA PROVSTGAARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2025

Counselor

🟢
Initial NPI Registration & Enumeration March 04, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Zuleika Provstgaard. Be the first to share your experience!

Sign in to leave a review for Zuleika Provstgaard

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1902604176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2025
Last Update: March 04, 2025
Sole Proprietor: No

Mailing Address

1007 Koala Dr

Omak, WA 988419247

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.