Active NPI
Awakening, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evansville, IN
National Provider Identifier
1497345425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- AWAKENING, LLC
- Practice address
- 1130 W Mill Rd Ste 211
Evansville, IN 47710-3801 - Phone
- (812) 639-3138
- NPI assigned
- Jan 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Cueche, LCSW
- Title
- Owner & Psychotherapist
- Phone
- (812) 639-3138
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1130 W Mill Rd Ste 211
Evansville, IN 47710-3801
Mailing address
1133 W Mill Rd Ste 211
Evansville, IN 47710-3806
Phone (812) 612-1488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210219001885 | IN | Part B Supplier - Clinic/Group Practice | 2466867601 |
Receives reassigned benefits from 1 practitioner Practice locations: Evansville, IN |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1611360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620172800000",
"number": "1497345425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 W MILL RD STE 211",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477103806",
"telephone_number": "812-612-1488",
"fax_number": "812-203-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 W MILL RD STE 211",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477103801",
"telephone_number": "812-639-3138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AWAKENING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-23",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A",
"authorized_official_last_name": "CUECHE",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER & PSYCHOTHERAPIST",
"authorized_official_telephone_number": "812-639-3138",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.