Active NPI
That Therapy Space
- Counselor
- Liberty Lake, WA
National Provider Identifier
1356071260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- THAT THERAPY SPACE
- Practice address
- 23801 E Appleway Ave Ste 110
Liberty Lake, WA 99019-9687 - Phone
- (321) 355-2010
- NPI assigned
- Jun 14, 2022
- 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
- Heather Michelle Pincelli
- Title
- President
- Phone
- (208) 446-3220
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
23801 E Appleway Ave Ste 110
Liberty Lake, WA 99019-9687
Mailing address
PO Box 322
Liberty Lake, WA 99019-0322
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Liberty Lake, WA
- NPI 1306241484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655164800000",
"number": "1356071260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23801 E APPLEWAY AVE STE 110",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990199687",
"telephone_number": "321-355-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THAT THERAPY SPACE",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-14",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A",
"authorized_official_last_name": "PINCELLI",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-446-3220"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.