Awe Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AWE THERAPY

Practice address

4470 W 78TH Street Cir
Bloomington, MN 55435-5408

Phone

(612) 208-6204

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Ellie WhiteakerNPI 1851019145

Title

Part Owner

Phone

(612) 361-6504

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ellie Remick Whiteaker

  • Professional Counselor
  • Edina, MN
  • NPI 1851019145

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1922836980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 OAKLAWN AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241918",
            "telephone_number": "319-360-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 W 78TH STREET CIR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355408",
            "telephone_number": "612-208-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "WHITEAKER",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "612-361-6504"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Astrup, PHARM.D
• Wendy Lee Aura
• Lauren Austin
• Edgar Austria, M.D.
• Suad Awale
• Sahra Awed
• Maria Rashid Awil
• Fatumo Ali Awli
• Cassandra Lynn Moorhead Ayub, MSW, LICSW
• Jessica Ayub, LPCC

• Mental Health Counselor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.