Organization Active NPI

Evergreen Wellness Psychotherapy

  • Clinical Neuropsychologist
  • Tacoma, WA
National Provider Identifier
1518863794
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
EVERGREEN WELLNESS PSYCHOTHERAPY
Practice address
808 N I St
Tacoma, WA 98403-2014
Phone
(425) 870-2198
Fax
(425) 831-0505
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Dr. Heidi Marsolek, PHD
Title
Psychologist/Owner
Phone
(425) 870-2198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

808 N I St
Tacoma, WA 98403-2014

Mailing address

808 N I St
Tacoma, WA 98403-2014
Phone (425) 870-2198

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1518863794",
    "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",
            "telephone_number": "425-870-2198",
            "fax_number": "425-831-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N I ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032014",
            "telephone_number": "425-870-2198",
            "fax_number": "425-831-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN WELLNESS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "MARSOLEK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "425-870-2198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.