Organization Active NPI

Tranquil Minds Therapeutic Services, LLC

  • Mental Health Counselor
  • Springfield, MA
National Provider Identifier
1285481382
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRANQUIL MINDS THERAPEUTIC SERVICES, LLC
Practice address
21 Barry Wills Place
Springfield, MA 01118
Phone
(413) 364-6975
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Tera La'Nice Drummer, LMHCNPI 1164944336
Title
Owner
Phone
(413) 364-6975

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

21 Barry Wills Place
Springfield, MA 01118

Mailing address

21 Barry Wills PL
Springfield, MA 01118-1508
Phone (413) 364-6975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250623001785 MA Part B Supplier - Clinic/Group Practice 6709398134 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MA

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.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1285481382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BARRY WILLS PL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181508",
            "telephone_number": "413-364-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BARRY WILLS PLACE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01118",
            "telephone_number": "413-364-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL MINDS THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "DRUMMER",
        "authorized_official_first_name": "TERA",
        "authorized_official_middle_name": "LA'NICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-364-6975",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.

Verify at the official NPI Registry.