Individual provider Active NPI

Tricia L Teneycke, PSYD, LMHC, ATR-BC

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1346553070
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60410848 Issued in WA
Practice address
509 Olive Way Ste 1025
Seattle, WA 98101-1710
Phone
(206) 387-5544
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY60410848 WA Primary
Mental Health Counselor 101YM0800X LH00009170 WA

Addresses

Primary practice location

509 Olive Way Ste 1025
Seattle, WA 98101-1710

Mailing address

509 Olive Way Ste 1025
Seattle, WA 98101-1710
Phone (206) 387-5544

Other identifiers 1

IdentifierTypeStateIssuer
00009170OtherWASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH00009170WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1346553070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1025",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011710",
            "telephone_number": "206-387-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1025",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011710",
            "telephone_number": "206-387-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENEYCKE",
        "first_name": "TRICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMHC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60410848",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009170",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "00009170",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.