Awake in Wellness Music Therapy, LLC

Primary specialty

Music TherapistTaxonomy code 225A00000X

Legal business name

AWAKE IN WELLNESS MUSIC THERAPY, LLC

Practice address

1430 Nelson Rd Ste 221
Longmont, CO 80501-6399

Phone

(303) 349-8918

NPI assigned

Mar 17, 2023

Organization subpart

No

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

Authorized official

Name

Jessica M Ditty, MT-BCNPI 1578058012

Title

Operating Manager

Phone

(303) 349-8918

Specialties & licenses 1

Addresses

Other names 1

• Ditty Music Therapy Former legal business name

Tax ID family

Awake in Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Awake in Wellness, LLC

  • Music Therapist
  • Longmont, CO
  • NPI 1922588102
  NPD tax ID

Locations

Practitioners 1

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

• Jessica Marie Ditty, MM, MT-BC

  • Music Therapist
  • Longmont, CO
  • NPI 1578058012
  NPD Authorized official

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1396447132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 W 4TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341135",
            "telephone_number": "303-349-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 NELSON RD STE 221",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016399",
            "telephone_number": "303-349-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKE IN WELLNESS MUSIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "DITTY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "303-349-8918",
        "authorized_official_credential": "MT-BC"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ditty Music Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Music Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Music Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.