Active NPI
Thin Line Counseling & Consulting
- Mental Health Counselor
- Kennewick, WA
National Provider Identifier
1043067259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shane Arthur Gulley, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023662590 | Medicaid | WA |
Other names 1
- Thin Line Counseling
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Kennewick, WA
- NPI 1023662590
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.