Thin Line Therapy 206 LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THIN LINE THERAPY 206 LLC

Practice address

907 Shasta Dr
Walla Walla, WA 99362-1537

Phone

(509) 713-2150

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Amie M Peterson, MHA MS LPCC LPC LMHCNPI 1194095968

Title

Owner

Phone

(509) 713-2150

Specialties & licenses 1

Addresses

Practitioners 2

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

• Amie Peterson, LPC, LPCC, LMHC

  • Mental Health Counselor
  • Walla Walla, WA
  • NPI 1194095968
  NPD Authorized official
• John Joseph Tank, LMHCA

  • Mental Health Counselor
  • Walla Walla, WA
  • NPI 1972477669
  NPD

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1346956059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SHASTA DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621537",
            "telephone_number": "509-713-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SHASTA DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621537",
            "telephone_number": "509-713-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIN LINE THERAPY 206 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-713-2150",
        "authorized_official_credential": "MHA MS LPCC LPC LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlie Thai, PHARMD
• Barbara Jean Thatcher, MSW
• The Star Project
• The Young Men'S Christian Association of Walla Walla
• Louise Thesman
• Thomas V Maroldo, MD
• Thomas W. Utt, PLLC
• Tabitha Thomas, RN
• Thompson & Thompson Physical Therapy, PS
• Breanne Joleen Thompson, LAC

• Mental Health Counselor in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.