Organization Active NPI

Evergreen Wellness Psychotherapy

Doing business as Heidi Marsolek

  • Health Service Clinic/Center
  • North Bend, WA
National Provider Identifier
1336752021
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
EVERGREEN WELLNESS PSYCHOTHERAPY
Doing business as
Heidi Marsolek
Practice address
209 Main Ave S Ste 115
North Bend, WA 98045-8139
Phone
(425) 870-2198
NPI assigned
Aug 24, 2020
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Dr. Heidi MarsolekNPI 1326270521
Title
Owner
Phone
(425) 870-2198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

209 Main Ave S Ste 115
North Bend, WA 98045-8139

Mailing address

808 N I St
Tacoma, WA 98403-2014

Other names 1

  • Heidi Marsolek Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.evergreenwellnesspsychotherapy.com

National Provider Directory

National Provider Directory
Tax ID family
Evergreen Wellness Psychotherapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1336752021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N I ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN AVE S STE 115",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458139",
            "telephone_number": "425-870-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN WELLNESS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "MARSOLEK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-870-2198",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.evergreenwellnesspsychotherapy.com",
            "affiliation": "N",
            "address_1": "209 Main Ave S Ste 115",
            "city": "North Bend",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980458139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heidi Marsolek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.