Organization Active NPI

Awaken Authentically, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ypsilanti, MI
National Provider Identifier
1154265114
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AWAKEN AUTHENTICALLY, PLLC
Practice address
2105 Lakeview Dr Apt 134
Ypsilanti, MI 48198-6717
Phone
(443) 798-4090
NPI assigned
Apr 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Sierra Johnson, MA, LLPNPI 1073062188
Title
Psychotherapist
Phone
(443) 798-4090

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2105 Lakeview Dr Apt 134
Ypsilanti, MI 48198-6717

Mailing address

2105 Lakeview Dr Apt 134
Ypsilanti, MI 48198-6717
Phone (443) 798-4090

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": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1154265114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 LAKEVIEW DR APT 134",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986717",
            "telephone_number": "443-798-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 LAKEVIEW DR APT 134",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986717",
            "telephone_number": "443-798-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN AUTHENTICALLY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "443-798-4090",
        "authorized_official_credential": "MA, LLP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.