NPIMap

Organization Active NPI

Awaken Your Voice LLC

  • Speech-Language Assistant
  • Phoenix, AZ
National Provider Identifier
1295456796
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
Legal business name
AWAKEN YOUR VOICE LLC
Practice address
2510 E Wescott Dr
Phoenix, AZ 85050-2572
Phone
(602) 702-9257
Fax
(602) 636-1887
NPI assigned
Sep 5, 2022
Last updated
Sep 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Authorized official

Name
Carola G Love, SLPANPI 1306281894
Title
Speech-Language Pathology Assistant
Phone
(602) 702-9257

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X NU Primary
Hearing and Speech Clinic/Center 261QH0700X NU

Addresses

Primary practice location

2510 E Wescott Dr
Phoenix, AZ 85050-2572

Mailing address

2510 E Wescott Dr
Phoenix, AZ 85050-2572
Phone (602) 702-9257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260114003382 AZ Part B Supplier - Clinic/Group Practice 7315423878 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

12020 N 35th Ave
Ste 109
Phoenix, AZ 85029
Phone (602) 780-1179

Practitioners & affiliated clinicians

Practitioners 6

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": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1295456796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E WESCOTT DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850502572",
            "telephone_number": "602-702-9257",
            "fax_number": "602-636-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E WESCOTT DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850502572",
            "telephone_number": "602-702-9257",
            "fax_number": "602-636-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN YOUR VOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-04",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "CAROLA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGY ASSISTANT",
        "authorized_official_telephone_number": "602-702-9257",
        "authorized_official_credential": "SLPA"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.

Verify at the official NPI Registry.