Awakened Heart LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AWAKENED HEART LLC

Practice address

456 SW Washington Ave
Corvallis, OR 97333-4405

Phone

(541) 368-8324

Fax

(833) 559-1051

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tove Gilbert-Morgan, LCSWNPI 1962861013

Title

Owner

Phone

(541) 368-8324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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.

• Tove Gilbert-Morgan, M.S.

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1962861013
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1992413900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 SW WASHINGTON AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334405",
            "telephone_number": "541-368-8324",
            "fax_number": "833-559-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 SW WASHINGTON AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334405",
            "telephone_number": "541-368-8324",
            "fax_number": "833-559-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENED HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "GILBERT-MORGAN",
        "authorized_official_first_name": "TOVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-368-8324",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avalon Health Care - Corvallis Manor LLC (Corvallis Manor Nursing & Rehabilitation Center)
• Susan Mae Avila
• Austin Robert Aviles
• Aaron P Avon, PHARMD
• Mohan Avula, DO
• Stephanie Anne Axman, M.D.
• Myo Sabai Aye, M.D.
• Leela Ayres
• Nesreen Aysheh
• Laila Josephine Ayyoub, LCSW

• Mental Health Counselor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.