NPIMap

Organization Active NPI

Conscious Awakening Counseling and Consulting PLLC

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1386097954
Registry record updated Jul 19, 2016
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
2806 Bainbridge Dr
Apt D
Durham, NC 27713-1441
Phone
(336) 456-3576
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

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

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C007607 NC Primary

Addresses

Primary practice location

2806 Bainbridge Dr
Apt D
Durham, NC 27713-1441

Mailing address

2806 Bainbridge Dr
Apt D
Durham, NC 27713-1441
Phone (336) 456-3576

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1386097954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 BAINBRIDGE DR",
            "address_2": "APT D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131441",
            "telephone_number": "336-456-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 BAINBRIDGE DR",
            "address_2": "APT D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131441",
            "telephone_number": "336-456-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS AWAKENING COUNSELING AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "MARUKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-456-3576",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.