Organization Active NPI

Tranquility Summit Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clackamas, OR
National Provider Identifier
1255245296
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TRANQUILITY SUMMIT PSYCHIATRIC SERVICES, LLC
Practice address
10121 SE Sunnyside Rd Ste 300
Clackamas, OR 97015-5713
Phone
(503) 455-7864
Fax
(503) 386-3345
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Victoria Jensen Jensen, PMHNP-BCNPI 1801565015
Title
Pmhnp-BC
Phone
(503) 455-7864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

10121 SE Sunnyside Rd Ste 300
Clackamas, OR 97015-5713

Mailing address

13203 SE 172ND Ave Suite 166
PMB 2000
Happy Valley, OR 97086-8738
Phone (503) 455-7864

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1255245296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 SE 172ND AVE SUITE 166",
            "address_2": "PMB 2000",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868738",
            "telephone_number": "503-455-7864",
            "fax_number": "503-386-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 300",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155713",
            "telephone_number": "503-455-7864",
            "fax_number": "503-386-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY SUMMIT PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "JENSEN",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "503-455-7864",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.