Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susannah Song Misiaszek, LMHC, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063702678

Susannah Song Misiaszek, LMHC, SUDP is a Mental Health Counselor in Tacoma, Washington. Qualified in 2010, 16 years ago. Practices with Cowlitz Indian Tribe, a 25-clinician group and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2011
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

12201 Pacific Ave S
Tacoma, WA 98444-5126
Phone: (253) 238-7260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1063702678
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC , SUDP
Sole proprietorNo
NPI enumeratedApril 15, 2011
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Cowlitz Indian Tribe — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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