Organization Active NPI

Dawn New Awakening LLC

  • Professional Counselor
  • Roseville, MI
National Provider Identifier
1023540515
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015231 Issued in MI
Legal business name
DAWN NEW AWAKENING LLC
Practice address
26316 Ronald St
Roseville, MI 48066-4458
Phone
(313) 221-3610
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Mrs. Darnicia L Simley-Calvin, LLPC-CADC-DP
Title
Administrator
Phone
(313) 221-3610

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 6401015231 MI
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6401015231 MI
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X 6401015231 MI
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6401015231 MI Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 6401015231 MI

Addresses

Primary practice location

26316 Ronald St
Roseville, MI 48066-4458

Mailing address

26316 Ronald St
Roseville, MI 48066-4458
Phone (313) 221-3610

National Provider Directory

National Provider Directory

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": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1023540515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26316 RONALD ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664458",
            "telephone_number": "313-221-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26316 RONALD ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664458",
            "telephone_number": "313-221-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN NEW AWAKENING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "SIMLEY-CALVIN",
        "authorized_official_first_name": "DARNICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-221-3610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LLPC-CADC-DP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401015231",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015231",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "MI",
            "license": "6401015231",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015231",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "6401015231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.