Active NPI
Tranquility Therapy Services LLC
- Clinical Social Worker
- Anacortes, WA
National Provider Identifier
1083303010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TRANQUILITY THERAPY SERVICES LLC
- Practice address
- 1610 Commercial Ave Ste 207
Anacortes, WA 98221-2258 - Phone
- (253) 377-5102
- NPI assigned
- May 4, 2023
- 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
- Ms. Forest Jacobson, LICSW
- Title
- Owner
- Phone
- (253) 377-5102
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1610 Commercial Ave Ste 207
Anacortes, WA 98221-2258
Mailing address
1610 Commercial Ave Ste 207
Anacortes, WA 98221-2258
Phone (253) 377-5102
National Provider Directory
National Provider DirectoryLocations
1610 Commercial Ave
Ste 207
Anacortes, WA 98221
Phone (253) 377-5102
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Anacortes, WA
- NPI 1235758814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683158400000",
"number": "1083303010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 COMMERCIAL AVE STE 207",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982212258",
"telephone_number": "253-377-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 COMMERCIAL AVE STE 207",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982212258",
"telephone_number": "253-377-5102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANQUILITY THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A",
"authorized_official_last_name": "JACOBSON",
"authorized_official_first_name": "FOREST",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-377-5102",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.