NPIMap

Organization Active NPI

Awakening Connection Counseling

  • Mental Health Counselor
  • State College, PA
National Provider Identifier
1881389153
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AWAKENING CONNECTION COUNSELING
Practice address
474 Windmere Dr Ste 301
State College, PA 16801-7651
Phone
(814) 208-9248
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Charla Magruder, LPCNPI 1437502424
Title
Owner and LPC
Phone
(580) 618-1224

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

474 Windmere Dr Ste 301
State College, PA 16801-7651

Mailing address

129 Amicus Dr
Port Matilda, PA 16870-7010
Phone (580) 618-1224

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1881389153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 AMICUS DR",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707010",
            "telephone_number": "580-618-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 WINDMERE DR STE 301",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017651",
            "telephone_number": "814-208-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING CONNECTION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "MAGRUDER",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_title_or_position": "OWNER AND LPC",
        "authorized_official_telephone_number": "580-618-1224",
        "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 State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.