Active NPI
Traci Marie Soltycki, LPC
- Professional Counselor
- Exton, PA
National Provider Identifier
1447005657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009980
- Practice address
- 306 Exton CMNS
Exton, PA 19341-2450 - Phone
- (610) 968-1236
- Fax
- (610) 968-1236
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC009980 | PA | Primary |
Addresses
Primary practice location
306 Exton CMNS
Exton, PA 19341-2450
Mailing address
1101 Morgan Ave
Drexel Hill, PA 19026-3328
Phone (610) 405-8313
Other practice location 1
994 Old Eagle School Rd Ste 1000
Wayne, PA 19087-1802
Phone (610) 255-7180
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009980 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Family Counseling | Professional | Current | Accepting new patients |
| Media Child and Family Associates LLC | Professional | Past | Accepting new patients |
Locations
306 Exton Cmns
Exton, PA 19341
Phone (610) 968-1236
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Exton, PA
- NPI 1396244125
-
- Marriage & Family Therapist
- Media, PA
- NPI 1316312259
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1447005657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MORGAN AVE",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190263328",
"telephone_number": "610-405-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 EXTON CMNS",
"city": "EXTON",
"state": "PA",
"postal_code": "193412450",
"telephone_number": "610-968-1236",
"fax_number": "610-968-1236"
}
],
"practiceLocations": [
{
"address_1": "994 Old Eagle School Rd Ste 1000",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "PA",
"postal_code": "190871802",
"country_code": "US",
"telephone_number": "610-255-7180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLTYCKI",
"first_name": "TRACI",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.