Organization Active NPI

Conscious Awakening Licensed Marriage Family Therapist Inc.

  • Mental Health Counselor
  • San Luis Obispo, CA
National Provider Identifier
1992549547
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Jennifer Ann Woodward, LMFTNPI 1790036291
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.