Active NPI
Tranquility Counseling Services
- Substance Abuse Rehabilitation Facility
- Long Beach, CA
National Provider Identifier
1629439898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- G1008311640
- Legal business name
- TRANQUILITY COUNSELING SERVICES
- Practice address
- 720 W 4TH St Unit 404
Long Beach, CA 90802-2100 - Phone
- (562) 787-5173
- NPI assigned
- Mar 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rushelle Charron Gonder, CATC
- Title
- Ceo
- Phone
- (562) 787-5173
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | G1008311640 | CA | Primary |
Addresses
Primary practice location
720 W 4TH St Unit 404
Long Beach, CA 90802-2100
Mailing address
720 W 4TH St Unit 404
Long Beach, CA 90802-2100
Phone (562) 787-5173
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458000000000",
"number": "1629439898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W 4TH ST UNIT 404",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908022100",
"telephone_number": "562-787-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W 4TH ST UNIT 404",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908022100",
"telephone_number": "562-787-5173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANQUILITY COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A",
"authorized_official_last_name": "GONDER",
"authorized_official_first_name": "RUSHELLE",
"authorized_official_middle_name": "CHARRON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-787-5173",
"authorized_official_credential": "CATC"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "G1008311640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.