Organization Active NPI

Awakenly LLC

  • Community/Behavioral Health Agency
  • Cornwall on Hudson, NY
National Provider Identifier
1790439651
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AWAKENLY LLC
Practice address
18 Hedges Ave
Cornwall on Hudson, NY 12520-1208
Phone
(347) 878-9934
NPI assigned
Feb 9, 2022
Last updated
Feb 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Allison D. Norman, LCSWNPI 1184049892
Title
Founder
Phone
(573) 268-9823

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

18 Hedges Ave
Cornwall on Hudson, NY 12520-1208

Mailing address

18 Hedges Ave
Cornwall on Hudson, NY 12520-1208
Phone (347) 878-9934

Other identifiers 2

IdentifierTypeStateIssuer
086181OtherNYLCSW
18569OtherAZLCSW

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1790439651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HEDGES AVE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201208",
            "telephone_number": "347-878-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HEDGES AVE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201208",
            "telephone_number": "347-878-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "573-268-9823",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "086181",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "18569",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.