Organization Active NPI

Thin Line Counseling & Consulting

  • Mental Health Counselor
  • Kennewick, WA
National Provider Identifier
1043067259
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THIN LINE COUNSELING & CONSULTING
Practice address
5219 W Clearwater Ave Ste 10a
Kennewick, WA 99336-1980
Phone
(509) 221-1690
NPI assigned
May 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2024

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

Authorized official

Name
Shane Arthur Gulley, LMHCNPI 1023662590
Title
Owner
Phone
(509) 554-2026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5219 W Clearwater Ave Ste 10a
Kennewick, WA 99336-1980

Mailing address

7021 Kau TRL
Pasco, WA 99301-9566
Phone (509) 554-2026

Other identifiers 1

IdentifierTypeStateIssuer
1023662590MedicaidWA

Other names 1

  • Thin Line Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

5219 W Clearwater Ave
Ste 10A
Kennewick, WA 99336
Phone (509) 221-1690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1043067259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 KAU TRL",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019566",
            "telephone_number": "509-554-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 W CLEARWATER AVE STE 10A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361980",
            "telephone_number": "509-221-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIN LINE COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "GULLEY",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-554-2026",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023662590",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thin Line Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; 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.