Organization Active NPI

Tranquil Waters

  • Mental Health Counselor
  • Washington, NC
National Provider Identifier
1154826220
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9001 Issued in NC
Legal business name
TRANQUIL WATERS
Practice address
141 S Market St
Washington, NC 27889
Phone
(252) 623-2128
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Donna Jarman Gibbs
Title
Owner
Phone
(252) 402-6557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 9001 NC Primary

Addresses

Primary practice location

141 S Market St
Washington, NC 27889

Mailing address

2504 Thomas Langston Rd
Winterville, NC 28590-9369
Phone (252) 402-6557

Other practice location 1

2504 Thomas Langston Rd
Winterville, NC 28590
Phone (252) 402-6557

Other practice location 2

2504 Thomas Langston Rd
Winterville, NC 28590
Phone (252) 402-6557

Other practice location 3

141 W Main St
Washington, NC 27889
Phone (252) 402-6557

National Provider Directory

National Provider Directory

Locations

141 S Market St
Washington, NC 27889
Phone (252) 623-2128

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": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1154826220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 THOMAS LANGSTON RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909369",
            "telephone_number": "252-402-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MARKET ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "27889",
            "telephone_number": "252-623-2128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2504 Thomas Langston Rd",
            "address_purpose": "LOCATION",
            "city": "Winterville",
            "state": "NC",
            "postal_code": "28590",
            "country_code": "US",
            "telephone_number": "252-402-6557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2504 Thomas Langston Rd",
            "address_purpose": "LOCATION",
            "city": "Winterville",
            "state": "NC",
            "postal_code": "28590",
            "country_code": "US",
            "telephone_number": "252-402-6557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 W Main St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NC",
            "postal_code": "27889",
            "country_code": "US",
            "telephone_number": "252-402-6557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANQUIL WATERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JARMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-402-6557"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.