Organization Active NPI

Tranquil Minds Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1316718729
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TRANQUIL MINDS PSYCHIATRIC SERVICES LLC
Practice address
4109 S Carnegie Cir
Sioux Falls, SD 57106-2321
Phone
(605) 310-0196
Fax
(605) 275-4715
NPI assigned
Jan 15, 2024
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Mrs. Wendy Jo Holthe-Lohan, CNPNPI 1205517133
Title
Owner/Pmhnp
Phone
(605) 310-0196

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4109 S Carnegie Cir
Sioux Falls, SD 57106-2321

Mailing address

513 S Scarlet Oak TRL
Sioux Falls, SD 57110-7626
Phone (605) 310-0196

Other practice location 1

513 S Scarlet Oak Trl
Sioux Falls, SD 57110-7626
Phone (605) 310-0196

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240917001873 SD Part B Supplier - Clinic/Group Practice 8123569258 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD

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": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1316718729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 S SCARLET OAK TRL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571107626",
            "telephone_number": "605-310-0196",
            "fax_number": "605-275-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 S CARNEGIE CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062321",
            "telephone_number": "605-310-0196",
            "fax_number": "605-275-4715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 S Scarlet Oak Trl",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571107626",
            "country_code": "US",
            "telephone_number": "605-310-0196",
            "fax_number": "605-275-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANQUIL MINDS PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "HOLTHE-LOHAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/PMHNP",
        "authorized_official_telephone_number": "605-310-0196",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

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