NPIMap

Organization Active NPI

Tranquility Counseling Services

  • Clinical Social Worker
  • Goldsboro, NC
National Provider Identifier
1194997379
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001595 Issued in NC
Legal business name
TRANQUILITY COUNSELING SERVICES
Practice address
3300 Cashwell Dr
Suite # 3
Goldsboro, NC 27534-4456
Phone
(919) 751-8989
Fax
(919) 751-1616
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mrs. Brenda Townsend Marshall, LCSW
Title
Owner/Clinical Social Worker
Phone
(919) 751-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C001595 NC Primary

Addresses

Primary practice location

3300 Cashwell Dr
Suite # 3
Goldsboro, NC 27534-4456

Mailing address

3300 Cashwell Dr
Suite # 3
Goldsboro, NC 27534-4456
Phone (919) 751-8989

Other identifiers 1

IdentifierTypeStateIssuer
6002810MedicaidNC

Other names 1

  • Brenda T. Marshall Other name

National Provider Directory

National Provider Directory

Locations

210 Malloy St
Ste 3
Goldsboro, NC 27534
Phone (919) 751-8989

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": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1194997379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CASHWELL DR",
            "address_2": "SUITE # 3",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344456",
            "telephone_number": "919-751-8989",
            "fax_number": "919-751-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 CASHWELL DR",
            "address_2": "SUITE # 3",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344456",
            "telephone_number": "919-751-8989",
            "fax_number": "919-751-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "TOWNSEND",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "919-751-8989",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002810",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brenda T. Marshall",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.