Active NPI
Olympia Georgeson, MA, MFA, PLPC
- Professional Counselor
- Brooklyn, NY
National Provider Identifier
1487449823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P130753
- Practice address
- 190 Grand St
Brooklyn, NY 11211-1056 - Phone
- (703) 304-9881
- NPI assigned
- Apr 14, 2025
- Last updated
- Apr 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0704017080 | VA | |
| Professional Counselor | 101YP2500X | P130753 | NY | Primary |
Addresses
Primary practice location
190 Grand St
Brooklyn, NY 11211-1056
Mailing address
190 Grand St
Brooklyn, NY 11211-1056
Phone (703) 304-9881
Other practice location 1
301 W Broad St Apt 531
Falls Church, VA 22046-3371
Phone (703) 304-9881
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, Master of Fine Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P130753 | NY | MD | Professional Counselor |
| 0704017080 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1487449823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 GRAND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112111056",
"telephone_number": "703-304-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 GRAND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112111056",
"telephone_number": "703-304-9881"
}
],
"practiceLocations": [
{
"address_1": "301 W Broad St Apt 531",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220463371",
"country_code": "US",
"telephone_number": "703-304-9881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGESON",
"first_name": "OLYMPIA",
"credential": "MA, MFA, PLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-14",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0704017080",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "P130753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.