Organization Active NPI

Tranquil Spaces Counseling LLC

  • Community/Behavioral Health Agency
  • Norfolk, NE
National Provider Identifier
1982241436
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRANQUIL SPACES COUNSELING LLC
Practice address
106 E Wilson Ave
Norfolk, NE 68701-2969
Phone
(402) 340-9092
Fax
(888) 920-1942
NPI assigned
Dec 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Traci S. Gaylor, LIMHP, LPCNPI 1528252004
Title
Owner
Phone
(402) 340-9092

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 Primary

Addresses

Primary practice location

106 E Wilson Ave
Norfolk, NE 68701-2969

Mailing address

404 N 3Rd St
Plainview, NE 68769-4008
Phone (402) 340-9092

Other identifiers 1

IdentifierTypeStateIssuer
50504047703MedicaidNE

National Provider Directory

National Provider Directory

Locations

106 E Wilson Ave
Norfolk, NE 68701
Phone (402) 340-9092

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": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1982241436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N 3RD ST",
            "city": "PLAINVIEW",
            "state": "NE",
            "postal_code": "687694008",
            "telephone_number": "402-340-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E WILSON AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012969",
            "telephone_number": "402-340-9092",
            "fax_number": "888-920-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL SPACES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "GAYLOR",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-340-9092",
        "authorized_official_credential": "LIMHP, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50504047703",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.