Active NPI
Conscious Awakening Licensed Marriage Family Therapist Inc.
- Mental Health Counselor
- San Luis Obispo, CA
National Provider Identifier
1992549547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CONSCIOUS AWAKENING LICENSED MARRIAGE FAMILY THERAPIST INC.
- Practice address
- 11549 Los Osos Valley Rd Ste 202
San Luis Obispo, CA 93405-6481 - Phone
- (805) 550-3621
- NPI assigned
- Jun 19, 2024
- 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
- Jennifer Ann Woodward, LMFT
- Title
- Therapist/Owner
- Phone
- (805) 550-3621
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11549 Los Osos Valley Rd Ste 202
San Luis Obispo, CA 93405-6481
Mailing address
PO Box 2043
Pismo Beach, CA 93448-2043
Phone (805) 550-3621
National Provider Directory
National Provider DirectoryLocations
11549 Los Osos Valley Rd
Ste 202
Sn Luis Obisp, CA 93405
Phone (805) 316-1544
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- San Luis Obispo, CA
- NPI 1790036291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1992549547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2043",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934482043",
"telephone_number": "805-550-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11549 LOS OSOS VALLEY RD STE 202",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934056481",
"telephone_number": "805-550-3621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSCIOUS AWAKENING LICENSED MARRIAGE FAMILY THERAPIST INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-19",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A",
"authorized_official_last_name": "WOODWARD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "805-550-3621",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.