Individual provider Active NPI

Richard William Solitaire, MA, LMHC

  • Mental Health Counselor
  • Tacoma, WA
National Provider Identifier
1033452156
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60334940 Issued in WA
Practice address
4301 S. Pine St.
30-19
Tacoma, WA 98409
Phone
(253) 441-9883
Fax
(877) 346-2980
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60334940 WA Primary

Addresses

Primary practice location

4301 S. Pine St.
30-19
Tacoma, WA 98409

Mailing address

1641 S. Huson Drive
Tacoma, WA 98405
Phone (253) 441-9883

Other identifiers 1

IdentifierTypeStateIssuer
2064808MedicaidWA

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

LicenseStateTypeSpecialty
LH60334940WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1033452156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 S. HUSON DRIVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-441-9883",
            "fax_number": "877-346-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S. PINE ST.",
            "address_2": "30-19",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98409",
            "telephone_number": "253-441-9883",
            "fax_number": "877-346-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLITAIRE",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60334940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064808",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.