Individual provider Active NPI

Olivia Weintraub-Farr, MS, LAC

  • Counselor
  • Peoria, AZ
National Provider Identifier
1275153231
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
13460 N 94TH Dr Ste M1
Peoria, AZ 85381-4247
Phone
(623) 974-3333
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

13460 N 94TH Dr Ste M1
Peoria, AZ 85381-4247

Mailing address

4930 W Torrey Pines Cir
Glendale, AZ 85308-3323
Phone (910) 233-7421

Other practice location 1

13912 W Stardust Blvd Ste 112
Sun City, AZ 85375-5572
Phone (480) 788-8078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Counseling, LLC CurrentSince Jan 10, 2021 Accepting new patients

Locations

13912 W Stardust Blvd
Ste 112
Sun City, AZ 85375
Phone (480) 788-8048

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1275153231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 W TORREY PINES CIR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083323",
            "telephone_number": "910-233-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE M1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814247",
            "telephone_number": "623-974-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13912 W Stardust Blvd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853755572",
            "country_code": "US",
            "telephone_number": "480-788-8078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINTRAUB-FARR",
        "first_name": "OLIVIA",
        "credential": "MS, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.