TRANQUIL JOURNEY THERAPY PLLC NPI 1396581088

NPI Information

  • NPI: 1396581088
  • Provider Name: TRANQUIL JOURNEY THERAPY PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 635 W CORONA AVE STE 200
    PUEBLO, CO
    ZIP 81004
  • Phone: (719) 299-0824

Map and Directions

Get Directions

NPI Details

TRANQUIL JOURNEY THERAPY PLLC is a professional counselor in Pueblo, CO. TRANQUIL JOURNEY THERAPY PLLC NPI is 1396581088. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

635 W CORONA AVE STE 200
PUEBLO, CO
ZIP 81004-210
Phone: (719) 299-0824

The provider's authorized official is Kurtis James Rivera .
The authorized official title is Therapist & Clinical Director and has the following contact phone number (719) 299-0824.

The enumeration date for this NPI number is 7/2/2024 and was last updated on 9/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11609241751MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.