Organization Active NPI

Conscious Awakening Counseling and Consulting PLLC

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1184975443
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007607 Issued in NC
Legal business name
CONSCIOUS AWAKENING COUNSELING AND CONSULTING PLLC
Practice address
612 Pasteur Dr
209
Greensboro, NC 27403-1149
Phone
(336) 456-3576
NPI assigned
Sep 27, 2012
Last updated
Sep 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Ms. Maruka J Rivers, MSW, LCSWNPI 1942573043
Title
Owner
Phone
(336) 456-3576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C007607 NC Primary

Addresses

Primary practice location

612 Pasteur Dr
209
Greensboro, NC 27403-1149

Mailing address

612 Whittier Dr
Greensboro, NC 27403-1121
Phone (336) 456-3576

National Provider Directory

National Provider Directory

Locations

612 Pasteur Dr
Ste 209
Greensboro, NC 27403
Phone (336) 446-9212

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1184975443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 WHITTIER DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031121",
            "telephone_number": "336-456-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PASTEUR DR",
            "address_2": "209",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031149",
            "telephone_number": "336-456-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS AWAKENING COUNSELING AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "MARUKA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-456-3576",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.