Organization Active NPI

Tranquil Counseling & Consulting, LLC

  • Clinical Social Worker
  • Hiawassee, GA
National Provider Identifier
1942843446
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRANQUIL COUNSELING & CONSULTING, LLC
Practice address
333 Big Sky Dr
Hiawassee, GA 30546-2243
Phone
(828) 342-9696
Fax
(706) 946-2044
NPI assigned
Oct 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Brandi C Rutan, LCSWNPI 1407989502
Title
Ceo
Phone
(828) 342-9696

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

333 Big Sky Dr
Hiawassee, GA 30546-2243

Mailing address

2098 Wood Lake LN
Young Harris, GA 30582-1620
Phone (866) 466-9734

Other identifiers 2

IdentifierTypeStateIssuer
C009934OtherNCLICENSED CLINICAL SOCIAL WORKER
CSW005851OtherGALICENSED CLINICAL SOCIAL WORKER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200227002763 GA Part B Supplier - Clinic/Group Practice 9436586617 Receives reassigned benefits from 1 practitioner
Practice locations: Blairsville, GA

National Provider Directory

National Provider Directory

Locations

40 Town Sq
Unit H
Blairsville, GA 30512
Phone (706) 781-1409

333 Big Sky Dr
Hiawassee, GA 30546
Phone (828) 342-9696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1942843446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 WOOD LAKE LN",
            "city": "YOUNG HARRIS",
            "state": "GA",
            "postal_code": "305821620",
            "telephone_number": "866-466-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BIG SKY DR",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305462243",
            "telephone_number": "828-342-9696",
            "fax_number": "706-946-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "RUTAN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-342-9696",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "C009934",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "CSW005851",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawassee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.