Awakening Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2092 Issued in SD

Legal business name

AWAKENING COUNSELING SERVICES, LLC

Practice address

202 S Main St
Ste 516
Aberdeen, SD 57401-4155

Phone

(605) 725-2701

Fax

(605) 725-2702

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah L Olsen, MS LPC-MH QMHPNPI 1477621100

Title

Owner

Phone

(605) 725-2701

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Deborah L Olsen, MS LPC-MH QMHP

  • Mental Health Counselor
  • Aberdeen, SD
  • NPI 1477621100

  Mental Health

  NPD (past) Authorized official
• Kristin Gilbertson, MS, LPC-MH, QMHP

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1609174408

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1487904207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S MAIN ST",
            "address_2": "STE 516",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014155",
            "telephone_number": "605-725-2701",
            "fax_number": "605-725-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S MAIN ST",
            "address_2": "STE 516",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014155",
            "telephone_number": "605-725-2701",
            "fax_number": "605-725-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-725-2701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS LPC-MH QMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "2092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575812",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Aberdeen, SD
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.