NPIMap

Organization Active NPI

Awakening Change Counseling Services LLC

  • Professional Counselor
  • Voorhees, NJ
National Provider Identifier
1952883183
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00636000 Issued in NJ
Legal business name
AWAKENING CHANGE COUNSELING SERVICES LLC
Practice address
1010 Haddonfield Berlin Rd Ste 403
Voorhees, NJ 08043-3514
Phone
(856) 873-9069
Fax
(856) 896-0726
NPI assigned
Sep 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Dr. Tiffany Minique Jenkins, EDD, LPC, LCADC, ACSNPI 1427466358
Title
Founder/Ceo
Phone
(609) 560-7395

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 37LC00198300 NJ
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 37PC00636000 NJ Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC009892 PA

Addresses

Primary practice location

1010 Haddonfield Berlin Rd Ste 403
Voorhees, NJ 08043-3514

Mailing address

1010 Haddonfield Berlin Rd Ste 403
Voorhees, NJ 08043-3514
Phone (856) 873-9069

National Provider Directory

National Provider Directory

Locations

535 Route 38
Ste 123H
Cherry Hill, NJ 08002
Phone (856) 873-9069

1010 Haddonfield Berlin Rd
Ste 403
Voorhees, NJ 08043
Phone (856) 873-9069

Practitioners & affiliated clinicians

Practitioners 3

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": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1952883183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HADDONFIELD BERLIN RD STE 403",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433514",
            "telephone_number": "856-873-9069",
            "fax_number": "856-896-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HADDONFIELD BERLIN RD STE 403",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433514",
            "telephone_number": "856-873-9069",
            "fax_number": "856-896-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING CHANGE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MINIQUE",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "609-560-7395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LPC, LCADC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00198300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00636000",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.