Joyful Awakening Practice LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JOYFUL AWAKENING PRACTICE LLC

Practice address

5623 Rainier Ave S
Seattle, WA 98118-2442

Phone

(971) 258-2971

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Horizon Greene, LICSW

Title

Owner, Provider

Phone

(971) 258-2971

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1346917986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28442",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981188442",
            "telephone_number": "971-258-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182442",
            "telephone_number": "971-258-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYFUL AWAKENING PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "HORIZON",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "971-258-2971",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912204546",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "horizon@joyfulawakeningpractice.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "5623 Rainier Ave S",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981182442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Renee Joyce, MAC
• Reesa Joyce, MSW
• Ryan Patrick Joyce, M.D.
• Shannon T. Joyce, ARNP
• Joyful Awakening LLC
• Byron D Joyner
• Chelsea Amanda Joynes, MPH
• JS Kramer PLLC
• Michelle Rayu Ju, M.D.
• Juan Pablo Valbuena, PSYD, PLLC

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.