Individual provider Active NPI

Geoffrey Dean Soleck, PH. D.

  • Counseling Psychologist
  • Tacoma, WA
National Provider Identifier
1881970911
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY60109769 Issued in WA
Practice address
2702 S 42ND St
Suite 310
Tacoma, WA 98409-7324
Phone
(253) 472-7844
Fax
(253) 472-8474
NPI assigned
Nov 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY60109769 WA Primary

Addresses

Primary practice location

2702 S 42ND St
Suite 310
Tacoma, WA 98409-7324

Mailing address

2702 S 42ND St
Suite 310
Tacoma, WA 98409-7324
Phone (253) 472-7844

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY60109769WAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Center for Integrative Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gsoleck@tacpsych.direct.kno2fy.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1881970911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 S 42ND ST",
            "address_2": "SUITE 310",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097324",
            "telephone_number": "253-472-7844",
            "fax_number": "253-472-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 S 42ND ST",
            "address_2": "SUITE 310",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097324",
            "telephone_number": "253-472-7844",
            "fax_number": "253-472-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLECK",
        "first_name": "GEOFFREY",
        "middle_name": "DEAN",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY60109769",
            "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 Nov 3, 2011; 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.