Active NPI
Tranquil Sage Counseling LLC
- Community/Behavioral Health Agency
- Manawa, WI
National Provider Identifier
1083468896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TRANQUIL SAGE COUNSELING LLC
- Practice address
- N5417 County Road B
Manawa, WI 54949-8611 - Phone
- (920) 931-4745
- NPI assigned
- Apr 16, 2024
- 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
- Tory Suehs, MA, LPC
- Title
- Owner/Therapisst
- Phone
- (920) 931-4745
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
N5417 County Road B
Manawa, WI 54949-8611
Mailing address
N5417 County Road B
Manawa, WI 54949-8611
Phone (920) 931-4745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
750 Bowling Ln
Waupaca, WI 54981
Phone (715) 201-2758
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Waupaca, WI
- NPI 1063710838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1083468896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N5417 COUNTY ROAD B",
"city": "MANAWA",
"state": "WI",
"postal_code": "549498611",
"telephone_number": "920-931-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N5417 COUNTY ROAD B",
"city": "MANAWA",
"state": "WI",
"postal_code": "549498611",
"telephone_number": "920-931-4745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANQUIL SAGE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A",
"authorized_official_last_name": "SUEHS",
"authorized_official_first_name": "TORY",
"authorized_official_title_or_position": "OWNER/THERAPISST",
"authorized_official_telephone_number": "920-931-4745",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manawa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.