Individual provider Active NPI

Mah Azah Awoh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Redding, CA
National Provider Identifier
1316240666
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61486344 Issued in WA
Practice address
2628 Victor Ave
Redding, CA 96002-1454
Phone
(281) 638-0915
Fax
(281) 572-8702
NPI assigned
Dec 8, 2010
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61486344 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028857 CA

Addresses

Primary practice location

2628 Victor Ave
Redding, CA 96002-1454

Mailing address

24301 Brazos Town Xing
Rosenberg, TX 77471-6286
Phone (281) 638-0915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240819004386 CA Practitioner - Nurse Practitioner 9638511173 Reassigns benefits to 1 organization
I20250728001755 AZ Practitioner - Nurse Practitioner 9638511173 Reassigns benefits to 1 organization
I20250808002298 WA Practitioner - Nurse Practitioner 9638511173 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95028857CAMDPsychiatric/Mental Health Nurse Practitioner
AP61486344WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Single Specialty CurrentSince Jun 6, 2024 Accepting new patients
Grow Healthcare Group PA Single Specialty CurrentSince Jun 18, 2025 Accepting new patients
Lightheart Associates PS Single Specialty CurrentSince Jan 21, 2024 Accepting new patients
Rolling Hills Clinic Single Specialty Current Accepting new patients
Kehn Mental Health and Wellness LLC Single Specialty CurrentSince Oct 4, 2024 Accepting new patients
Dr. Kathleen Worsley Single Specialty PastSince Jan 21, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

740 Solano St
Corning, CA 96021
Phone (530) 690-2827

2540 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 528-8899

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

24301 Brazos Town Xing
Rosenberg, TX 77471
Phone (409) 264-2100

7902 168th Ave NE
Ste 101
Redmond, WA 98052
Phone (425) 472-2681

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1316240666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 BRAZOS TOWN XING",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774716286",
            "telephone_number": "281-638-0915",
            "fax_number": "281-572-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021454",
            "telephone_number": "281-638-0915",
            "fax_number": "281-572-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOH",
        "first_name": "MAH",
        "middle_name": "AZAH",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61486344",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.