Active NPI
Awake in Wellness, LLC
- Music Therapist
- Longmont, CO
National Provider Identifier
1922588102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 11114
- Legal business name
- AWAKE IN WELLNESS, LLC
- Practice address
- 1430 Nelson Rd Ste 221
Longmont, CO 80501-6399 - Phone
- (720) 340-3869
- NPI assigned
- Aug 17, 2018
- 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
- Jessica Marie Ditty, MM, MT-BC
- Title
- Operating Manager
- Phone
- (303) 349-8918
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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 11114 | CO | Primary |
Addresses
Primary practice location
1430 Nelson Rd Ste 221
Longmont, CO 80501-6399
Mailing address
1430 Nelson Rd Ste 221
Longmont, CO 80501-6399
Phone (203) 403-8697
Other names 1
- Awake In Wellness Music Therapy
National Provider Directory
National Provider Directory- Tax ID family
- Awake in Wellness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Music Therapist
- Longmont, CO
- NPI 1396447132
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Music Therapist
- Longmont, CO
- NPI 1578058012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1922588102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 NELSON RD STE 221",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016399",
"telephone_number": "203-403-8697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 NELSON RD STE 221",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016399",
"telephone_number": "720-340-3869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AWAKE IN WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-17",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "DITTY",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OPERATING MANAGER",
"authorized_official_telephone_number": "303-349-8918",
"authorized_official_credential": "MM, MT-BC"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Music Therapist",
"state": "CO",
"license": "11114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Awake In Wellness Music Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.