Organization Active NPI

Tranquil Sage Counseling LLC

  • Community/Behavioral Health Agency
  • Manawa, WI
National Provider Identifier
1083468896
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Tory Suehs, MA, LPCNPI 1063710838
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20240905004177 WI Part B Supplier - Clinic/Group Practice 6103366083 Receives reassigned benefits from 1 practitioner
Practice locations: Manawa, WI; Waupaca, WI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.