Organization Active NPI

Well Thought, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longview, WA
National Provider Identifier
1720717804
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WELL THOUGHT, PLLC
Practice address
880 11TH Avenue
Suite #201
Longview, WA 98632
Phone
(360) 355-6015
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Dr. Gareth Penta, DNP, ARNP, PMHNP-BC
Title
Owner/Provider
Phone
(360) 559-3456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

880 11TH Avenue
Suite #201
Longview, WA 98632

Mailing address

880 11TH Avenue
Suite #201
Longview, WA 98632

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address garethpenta@well-thought.drchronodirect.com

National Provider Directory

National Provider Directory

Locations

880 11th Ave
Ste 201
Longview, WA 98632
Phone (360) 355-6015

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1720717804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 11TH AVENUE",
            "address_2": "SUITE #201",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 11TH AVENUE",
            "address_2": "SUITE #201",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-355-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL THOUGHT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "PENTA",
        "authorized_official_first_name": "GARETH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "360-559-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, ARNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garethpenta@well-thought.drchronodirect.com",
            "affiliation": "N",
            "address_1": "880 11th Avenue",
            "address_2": "Suite #201",
            "city": "Longview",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.