Awakening Wellness Professional Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005205 Issued in NC

Legal business name

AWAKENING WELLNESS PROFESSIONAL CORPORATION

Practice address

1508 Military Cutoff Rd Ste 205
Wilmington, NC 28403-5730

Phone

(910) 470-2387

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Marion Easton Alburger GittingsNPI 1467519132

Title

Owner/President

Phone

(910) 470-2387

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Marion Easton Alburger Gittings, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1467519132
  Medicare reassignment NPD Authorized official
• Kim Lange, LCMHC

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1407842495
  NPD
• Alison D Ferguson, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1275757494
  NPD (past)
• Jessica Powell, LPA LPC

  • Psychologist
  • Wilmington, NC
  • NPI 1427034800
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1659648954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 APOLLO DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053903",
            "telephone_number": "910-470-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 MILITARY CUTOFF RD STE 205",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035730",
            "telephone_number": "910-470-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING WELLNESS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "GITTINGS",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "EASTON ALBURGER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "910-470-2387"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2853434",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marion@awakeningwellnesspc.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "1508 Military Cutoff Rd Ste 205",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284035730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Marie Avery, RN/IBCLC
• Jennifer Avery, LCMHC
• Mary Eden Avery, LCSWA
• Mary Catherine Avey
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• Lacey Ann Aycock, FNP-C
• Susannah Aylesworth, MD
• Azalea Chiropractic & Acupuncture PLLC
• Azalea Coast Plastic Surgery, PA

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.

Verify at the official NPI Registry.