Tranquil Journey Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TRANQUIL JOURNEY THERAPY PLLC

Practice address

635 W Corona Ave Ste 200
Pueblo, CO 81004-1210

Phone

(719) 299-0824

NPI assigned

Jul 2, 2024

Last updated

Sep 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kurtis James Rivera, MAFP, MA, LPC, CASNPI 1609241751

Title

Therapist & Clinical Director

Phone

(719) 299-0824

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Kurtis James Rivera, MAFP, MA, LPC, CAS

  • Professional Counselor
  • Pueblo, CO
  • NPI 1609241751

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758412800000",
    "number": "1396581088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W CORONA AVE STE 200",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041210",
            "telephone_number": "719-299-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W CORONA AVE STE 200",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041210",
            "telephone_number": "719-299-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL JOURNEY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "KURTIS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "THERAPIST & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "719-299-0824",
        "authorized_official_credential": "MAFP, MA, LPC, CAS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609241751",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2025; 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.