Individual provider Active NPI

Autumn Chandra Piontek-Walsh, M.A.

  • Mental Health Counselor
  • Port Angeles, WA
National Provider Identifier
1457607186
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60622185 Issued in WA
Practice address
629 E Front St
Port Angeles, WA 98362-3319
Phone
(360) 775-1071
NPI assigned
Jul 31, 2012
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG60293067 WA
Mental Health Counselor 101YM0800X LH60622185 WA Primary

Addresses

Primary practice location

629 E Front St
Port Angeles, WA 98362-3319

Mailing address

423 S Albert St
Port Angeles, WA 98362-3417
Phone (360) 775-1071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH60622185WAMDMental Health Counselor
MG60293067WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1457607186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 S ALBERT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623417",
            "telephone_number": "360-775-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623319",
            "telephone_number": "360-775-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIONTEK-WALSH",
        "first_name": "AUTUMN",
        "middle_name": "CHANDRA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60293067",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60622185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.