Active NPI
Awaken Counseling
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1003523820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- AWAKEN COUNSELING
- Practice address
- 4602 NE 59TH Ave
Vancouver, WA 98661-2957 - Phone
- (503) 410-3048
- NPI assigned
- Nov 1, 2022
- 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
- Rochelle Schwartz
- Title
- Owner/Therapist
- Phone
- (503) 410-3048
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4602 NE 59TH Ave
Vancouver, WA 98661-2957
Mailing address
2114 Main St Ste 100-197
Vancouver, WA 98660-2674
Phone (503) 410-3048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2114 Main St
Ste 100197
Vancouver, WA 98660
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": "1667260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1003523820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 MAIN ST STE 100-197",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986602674",
"telephone_number": "503-410-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 NE 59TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986612957",
"telephone_number": "503-410-3048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AWAKEN COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-01",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "ROCHELLE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "503-410-3048"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.