Awakening of the Soul Psychotherapy Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AWAKENING OF THE SOUL PSYCHOTHERAPY SERVICES, LLC

Practice address

1005 Louisa Ave
Portsmouth, VA 23707-2931

Phone

(787) 203-1535

NPI assigned

May 2, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Wilmarie Vega- Matos, LCSWNPI 1942633540

Title

Owner

Phone

(787) 203-1535

Specialties & licenses 1

Addresses

Other names 1

• Awakening of the Soul Psychotherapy Services, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wilmarie Vega Matos, LCSW

  • Clinical Social Worker
  • Portsmouth, VA
  • NPI 1942633540
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1164211553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 LOUISA AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072931",
            "telephone_number": "787-203-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 LOUISA AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072931",
            "telephone_number": "787-203-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING OF THE SOUL PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "VEGA- MATOS",
        "authorized_official_first_name": "WILMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-203-1535",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awakening of the Soul Psychotherapy Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Crisshy Auguste, MD
• Asia Austin, MSW
• Autumn Corporation (Autumn Care of Portsmouth)
• Daley Favo Auvil, MD
• Tammy Gail Henley Avila, PA-C
• Louisa Apongse Ayafor Ndamukong, MD
• Olumide Ayeni, MD
• Blanca L Ayers
• Allen Williams Ayres, M.D.
• Lauren Alessandra Azeles, M.S. CCC-SLP

• Clinical Social Worker in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.