Organization Active NPI

Thin Line Wellness and Recovery LLC

  • Professional Counselor
  • Fort Defiance, VA
National Provider Identifier
1790472504
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THIN LINE WELLNESS AND RECOVERY LLC
Practice address
396 Fort Defiance Rd
Fort Defiance, VA 24437-2064
Phone
(540) 430-0078
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Sarah Thompson, LPCNPI 1639679483
Title
Owner/Counselor
Phone
(540) 430-0078

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

396 Fort Defiance Rd
Fort Defiance, VA 24437-2064

Mailing address

396 Fort Defiance Rd
Fort Defiance, VA 24437-2064
Phone (540) 430-0078

National Provider Directory

National Provider Directory

Locations

727 Lee Hwy
Ste 103
Verona, VA 24482
Phone (540) 200-8846

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1790472504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 FORT DEFIANCE RD",
            "city": "FORT DEFIANCE",
            "state": "VA",
            "postal_code": "244372064",
            "telephone_number": "540-430-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 FORT DEFIANCE RD",
            "city": "FORT DEFIANCE",
            "state": "VA",
            "postal_code": "244372064",
            "telephone_number": "540-430-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIN LINE WELLNESS AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "540-430-0078",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.