Active NPI
Tranquil Waters Counseling LLC
- Clinical Social Worker
- Orlando, FL
National Provider Identifier
1184085508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 13271
- Legal business name
- TRANQUIL WATERS COUNSELING LLC
- Practice address
- 12617 Narcoossee Road
Suite 110
Orlando, FL 32832 - Phone
- (407) 738-9408
- Fax
- (949) 543-2325
- NPI assigned
- Mar 12, 2016
- 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
- Mrs. Ann-Marie Miglionico, LCSW
- Title
- Owner/ Therapist
- Phone
- (407) 738-9408
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 13271 | FL | Primary |
Addresses
Primary practice location
12617 Narcoossee Road
Suite 110
Orlando, FL 32832
Mailing address
12617 Narcoossee Road
Suite 110
Orlando, FL 32832
Phone (407) 738-9408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016598100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6900 Tavistock Lakes Blvd
Ste 426
Orlando, FL 32827
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Orlando, FL
- NPI 1710315684
-
- Psychiatry Physician
- Santa Rosa Beach, FL
- NPI 1649437401
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620086400000",
"number": "1184085508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12617 NARCOOSSEE ROAD",
"address_2": "SUITE 110",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32832",
"telephone_number": "407-738-9408",
"fax_number": "949-543-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12617 NARCOOSSEE ROAD",
"address_2": "SUITE 110",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32832",
"telephone_number": "407-738-9408",
"fax_number": "949-543-2325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANQUIL WATERS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-12",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A",
"authorized_official_last_name": "MIGLIONICO",
"authorized_official_first_name": "ANN-MARIE",
"authorized_official_title_or_position": "OWNER/ THERAPIST",
"authorized_official_telephone_number": "407-738-9408",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 13271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016598100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.