NPIMap

Organization Active NPI

Awakenings Counseling

Doing business as Counseling Near Me

  • Marriage & Family Therapist
  • Raleigh, NC
National Provider Identifier
1417459371
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
758 Issued in NC
Legal business name
AWAKENINGS COUNSELING
Doing business as
Counseling Near Me
Practice address
4505 Fair Meadows LN Ste 103
Raleigh, NC 27607-6449
Phone
(984) 204-1337
Fax
(919) 845-5431
NPI assigned
Mar 6, 2018
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Caroline Landen, LMFTNPI 1972874071
Title
Clinical Director
Phone
(919) 610-1676

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
Clinical Social Worker 1041C0700X C009522 NC
Marriage & Family Therapist 106H00000X 758 NC Primary

Addresses

Primary practice location

4505 Fair Meadows LN Ste 103
Raleigh, NC 27607-6449

Mailing address

701 Tadlock Dr
Raleigh, NC 27614-9238
Phone (919) 931-2463

Other names 1

  • Counseling Near Me Doing business as

National Provider Directory

National Provider Directory

Locations

4505 Fair Meadows Ln
Ste 103
Raleigh, NC 27607
Phone (919) 845-5400

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1417459371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TADLOCK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149238",
            "telephone_number": "919-931-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076449",
            "telephone_number": "984-204-1337",
            "fax_number": "919-845-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENINGS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "LANDEN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-610-1676",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009522",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Near Me",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.