Active NPI
Awakening LLC
- Mental Health Counselor
- Washington, DC
National Provider Identifier
1750973467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- AWAKENING LLC
- Practice address
- 1638 R St NW Ste 300
Washington, DC 20009-6451 - Phone
- (617) 455-8399
- NPI assigned
- Feb 4, 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
- Ronald O Esquivel, LPC
- Title
- Chief Executive Officer
- Phone
- (617) 455-8399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1638 R St NW Ste 300
Washington, DC 20009-6451
Mailing address
2021 L St NW Ste 101-279
Washington, DC 20036-4909
Phone (617) 455-8399
National Provider Directory
National Provider DirectoryLocations
1638 R St NW
Ste 300
Washington, DC 20009
Phone (202) 779-1828
2021 L St NW
Ste 101279
Washington, DC 20036
Phone (617) 455-8359
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": "1612396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612396800000",
"number": "1750973467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 L ST NW STE 101-279",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200364909",
"telephone_number": "617-455-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 R ST NW STE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200096451",
"telephone_number": "617-455-8399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AWAKENING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-04",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A",
"authorized_official_last_name": "ESQUIVEL",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "617-455-8399",
"authorized_official_credential": "LPC"
},
"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 Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.