Organization Active NPI

Awakenings Counseling PLLC

  • Mental Health Counselor
  • Port Ludlow, WA
National Provider Identifier
1437936580
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AWAKENINGS COUNSELING PLLC
Practice address
12 Ketch LN
Port Ludlow, WA 98365-9703
Phone
(503) 575-0134
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Ms. Cuyler Simmons, LCSWNPI 1962912105
Title
Owning Manager
Phone
(503) 575-0134

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

12 Ketch LN
Port Ludlow, WA 98365-9703

Mailing address

748 Market St # 138
Tacoma, WA 98402-3737

National Provider Directory

National Provider Directory

Locations

748 Market St
#138
Tacoma, WA 98402

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": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1437936580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MARKET ST # 138",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KETCH LN",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659703",
            "telephone_number": "503-575-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENINGS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CUYLER",
        "authorized_official_title_or_position": "OWNING MANAGER",
        "authorized_official_telephone_number": "503-575-0134",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Ludlow, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.