Organization Active NPI

Tranquility Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Cloud, MN
National Provider Identifier
1972977072
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1405 Issued in MN
Legal business name
TRANQUILITY THERAPY PLLC
Practice address
14 7TH Ave N
Saint Cloud, MN 56303-4753
Phone
(320) 259-4000
Fax
(320) 259-4074
NPI assigned
Nov 30, 2015
Last updated
Nov 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Deborah Vogt, L.M.F.T.
Title
Owner/Clinical Therapist
Phone
(320) 259-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1405 MN Primary

Addresses

Primary practice location

14 7TH Ave N
Saint Cloud, MN 56303-4753

Mailing address

14 7TH Ave N
Saint Cloud, MN 56303-4753
Phone (320) 259-4000

Other identifiers 1

IdentifierTypeStateIssuer
093408900MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1972977072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 7TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034753",
            "telephone_number": "320-259-4000",
            "fax_number": "320-259-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 7TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034753",
            "telephone_number": "320-259-4000",
            "fax_number": "320-259-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "320-259-4000",
        "authorized_official_credential": "L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "1405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093408900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.