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Desirae Nicks, CG60864058
NPI 1639641590 · Mental Health Counselor · Tacoma, WA
Desirae Nicks, CG60864058 is a Mental Health Counselor provider in Tacoma, WA (NPI 1639641590).
Provider details
- NPI number
- 1639641590
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- CG60864058
- Sex
- Female
- Sole proprietor
- Yes
- License
- CG60864058 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3901 S Fife St Ste 301
Tacoma, WA 98409-7309
Phone: (253) 625-4422
Fax: (253) 584-1496
Street-level locationGet directions
Mailing address
3901 S Fife St Ste 301
Tacoma, WA 98409-7309
Registry dates
- Enumerated
- 2018-12-17
- Last updated
- 2018-12-17
Frequently asked questions
- What is Desirae Nicks's NPI number?
- Desirae Nicks's National Provider Identifier (NPI) is 1639641590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Desirae Nicks's specialty?
- Desirae Nicks is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Desirae Nicks located?
- Desirae Nicks's practice location on file with NPPES is 3901 S Fife St Ste 301, Tacoma, WA 98409-7309.
- What is Desirae Nicks's phone number?
- The practice phone number listed in the NPPES registry for Desirae Nicks is (253) 625-4422.
- Is Desirae Nicks's NPI active?
- Yes — Desirae Nicks's NPI (1639641590) is active in the NPPES registry as of the last update on 2018-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.