NPIMap

Organization Active NPI

Tranquil Mind & Wellness, Inc

  • Mental Health Counselor
  • Lakeville, MA
National Provider Identifier
1376754267
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRANQUIL MIND & WELLNESS, INC
Practice address
6 Alberta LN
Lakeville, MA 02347-1864
Phone
(508) 273-3726
NPI assigned
May 24, 2007
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Ginny Kelly, LICSWNPI 1619980992
Title
Account Manager
Phone
(508) 947-1683

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

6 Alberta LN
Lakeville, MA 02347-1864

Mailing address

6 Alberta LN
Lakeville, MA 02347-1864
Phone (508) 273-3726

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080317000300 MA Part B Supplier - Clinic/Group Practice 9032191978 Receives reassigned benefits from 2 practitioners
Practice locations: Lakeville, MA

National Provider Directory

National Provider Directory

Locations

104 Charles Eldridge Rd
Lakeville, MA 02347
Phone (508) 813-3892

109 Rhode Island Rd
Ste B
Lakeville, MA 02347
Phone (508) 947-1683

47 E Grove St
Middleboro, MA 02346
Phone (508) 927-1955

Practitioners & affiliated clinicians

Practitioners 7

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1376754267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ALBERTA LN",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471864",
            "telephone_number": "508-273-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ALBERTA LN",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471864",
            "telephone_number": "508-273-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL MIND & WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "GINNY",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "508-947-1683",
        "authorized_official_credential": "LICSW"
    },
    "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 Lakeville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.