Organization Active NPI

Tranquility Mental Health Counseling and Wellness Center LLC

  • Community/Behavioral Health Agency
  • East Taunton, MA
National Provider Identifier
1609255801
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
118891 Issued in MA
Legal business name
TRANQUILITY MENTAL HEALTH COUNSELING AND WELLNESS CENTER LLC
Practice address
37 Kingman St
East Taunton, MA 02718-1407
Phone
(774) 226-9927
Fax
(844) 232-1102
NPI assigned
May 21, 2015
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Amanda Frates, LICSWNPI 1831519222
Title
Owner
Phone
(774) 240-9763

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
Community/Behavioral Health Agency 251S00000X 118891 MA Primary

Addresses

Primary practice location

37 Kingman St
East Taunton, MA 02718-1407

Mailing address

37 Kingman St
East Taunton, MA 02718-1407
Phone (774) 240-9763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151113000026 MA Part B Supplier - Clinic/Group Practice 4688987209 Receives reassigned benefits from 1 practitioner
Practice locations: Acushnet, 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, 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": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1609255801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KINGMAN ST",
            "city": "EAST TAUNTON",
            "state": "MA",
            "postal_code": "027181407",
            "telephone_number": "774-240-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KINGMAN ST",
            "city": "EAST TAUNTON",
            "state": "MA",
            "postal_code": "027181407",
            "telephone_number": "774-226-9927",
            "fax_number": "844-232-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY MENTAL HEALTH COUNSELING AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "FRATES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-240-9763",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "118891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.