Organization Active NPI

Calm in the Wilderness

  • Marriage & Family Therapist
  • Puyallup, WA
National Provider Identifier
1225730435
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CALM IN THE WILDERNESS
Doing business as
Calm in the Wilderness
The Calm in the WIlderness
Practice address
3911 9TH St SW Ste 205
Puyallup, WA 98373-5946
Phone
(760) 881-5559
Fax
(442) 255-1126
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Anthonie O EtienneNPI 1023428117
Title
Ceo/LMFT
Phone
(760) 881-5559

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3911 9TH St SW Ste 205
Puyallup, WA 98373-5946

Mailing address

PO Box 731915
Puyallup, WA 98373-0045
Phone (760) 881-5559

Other identifiers 1

IdentifierTypeStateIssuer
2367962MedicaidWA

Other names 2

  • Calm in the Wilderness Doing business as
  • The Calm in the WIlderness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250624000927 WA Part B Supplier - Clinic/Group Practice 7719499979 Receives reassigned benefits from 1 practitioner
Practice locations: Puyallup, WA

National Provider Directory

National Provider Directory

Locations

3911 9th St SW
Ste 205
Puyallup, WA 98373
Phone (760) 881-5559

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": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1225730435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731915",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983730045",
            "telephone_number": "760-881-5559",
            "fax_number": "442-255-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 9TH ST SW STE 205",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735946",
            "telephone_number": "760-881-5559",
            "fax_number": "442-255-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALM IN THE WILDERNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "ANTHONIE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO/LMFT",
        "authorized_official_telephone_number": "760-881-5559"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2367962",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calm in the Wilderness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Calm in the WIlderness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Calm in the WIlderness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.