Picket Fene Therapy & Consulting, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PICKET FENE THERAPY & CONSULTING, LLC

Practice address

105B W Main Ste 105
Puyallup, WA 98371-5329

Phone

(253) 310-6226

Fax

(253) 604-4098

NPI assigned

Dec 27, 2017

Organization subpart

No

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

Authorized official

Name

Teresa M EltrichNPI 1699815621

Title

Ceo, Therapist

Phone

(253) 310-6226

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Teresa M Eltrich, MS

  • Mental Health Counselor
  • Gig Harbor, WA
  • NPI 1699815621
  NPD Authorized official

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1558877696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 BURNHAM DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328543",
            "telephone_number": "253-310-6226",
            "fax_number": "855-946-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105B W MAIN STE 105",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715329",
            "telephone_number": "253-310-6226",
            "fax_number": "253-604-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKET FENE THERAPY & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "ELTRICH",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO, THERAPIST",
        "authorized_official_telephone_number": "253-310-6226"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Puyallup, WA
• Providers in Puyallup, 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 Dec 20, 2021; 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.