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DESIRAE LAYNE NICKS CG60864058
NPI 1639641590
Counselor - Mental Health in Tacoma, WA

Active since December 17, 2018
3901 S FIFE ST STE 301, TACOMA, WA 98409(253) 625-4422(253) 584-1496 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Desirae Layne Nicks Cg60864058 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIRAE LAYNE NICKS CG60864058 (NPI 1639641590) is an individual mental health provider in Tacoma, Washington, licensed in Washington (CG60864058) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1639641590
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDESIRAE LAYNE NICKSCredential: CG60864058
Location Address3901 S FIFE ST STE 301Tacoma, WA 98409-7309
Mailing Address3901 S Fife St Ste 301Tacoma, WA 98409-7309 · (253) 625-4422 · Fax (253) 584-1496
Phone(253) 625-4422
Fax(253) 584-1496
Sole ProprietorYes
Enumeration DateDecember 17, 2018
✔ NPI 1639641590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · CG60864058
3901 S FIFE ST STE 301, Tacoma, WA 98409
Open in Google Maps ↗

Other Identifiers 1

MedicaidCG60864058WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN ANNE CROWN
Counselor (Mental Health)
3901 S FIFE ST STE 301
TACOMA, WA 98409
Pierce County (253) 589-5334
HOLLY L ZETTEL
Counselor (Mental Health)
3901 S FIFE ST STE 301
TACOMA, WA 98409
Pierce County (253) 589-5334
HEIDI LYNN COONS
Peer Specialist
3901 S FIFE ST STE 301
TACOMA, WA 98409
Pierce County (253) 589-5334
JULIE THIES
Counselor (Mental Health)
3901 S FIFE ST STE 301
TACOMA, WA 98409
Pierce County (253) 589-5334
MR. TOBY PAUL ESTLER LMFT
Marriage & Family Therapist
3901 S FIFE ST STE 301
TACOMA, WA 98409
Pierce County (253) 589-5334
DORA ANN DUKE HM60711152
Counselor (Mental Health)
3901 S FIFE ST STE 301
TACOMA, WA 98409
Pierce County (253) 589-5334
MEGAN ANTHONY
Case Manager/Care Coordinator
3901 S FIFE ST STE 301
TACOMA, WA 98409
Pierce County (253) 589-5334
KELLI GILBERT
Counselor (Mental Health)
3901 S FIFE ST STE 301
TACOMA, WA 98409
Pierce County (253) 589-5334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desirae Nicks's NPI number?

The NPI number for Desirae Nicks is 1639641590. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Desirae Nicks located?

Desirae Nicks practices at 3901 S Fife St Ste 301, Tacoma, WA 98409. The listed phone number is (253) 625-4422.

What is Desirae Nicks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Desirae Nicks was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.