Active NPI
Tranquil Waters
- Mental Health Counselor
- Washington, NC
National Provider Identifier
1154826220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Pinetown, NC
- NPI 1306113634
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.