Individual provider Active NPI

Olympia Georgeson, MA, MFA, PLPC

  • Professional Counselor
  • Brooklyn, NY
National Provider Identifier
1487449823
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P130753 Issued in NY
Practice address
190 Grand St
Brooklyn, NY 11211-1056
Phone
(703) 304-9881
NPI assigned
Apr 14, 2025
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
P130753NYMDProfessional Counselor
0704017080VAMDProfessional 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.

Verify at the official NPI Registry.