AWAKE MINDFUL THERAPY (NPI# 1225653413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225653413 |
| Entity Type | Organization |
| Organization Name | AWAKE MINDFUL THERAPY |
| Practice Address |
30922 Hilltop Dr Evergreen CO 80439-8762 |
| Mailing Address |
6429 Elaine Rd Evergreen CO 80439-7055 |
| Practice Telephone | 9703904318 |
| Mailing Telephone | 9703904318 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | ERIK VIENNEAU (OFFICE MANAGER/THERAPIST) |
| Authorized Official Telephone | 9703904318 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AWAKE Mindful Therapy | Doing Business As Name - Organization |
| Street Address |
30922 HILLTOP DR |
| City | EVERGREEN |
| State | CO |
| Zip Code | 80439-8762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134351 | Mary Elizabeth Pruet | Speech-Language Pathologist | 26284 Grand Summit Trl, Evergreen, CO 80439 | 2018-05-15 |
| 1821511031 | Marie Ann St. Denis | Acupuncturist | 27919 Alabraska Lane, Evergreen, CO 80439 | 2017-07-19 |
| 1285173203 | Natalie Mannon Ibrahim | Physician Assistant | 30940 Stagecoach Blvd, Ste E290, Elk Ridge Family Physicians, Inc, Evergreen, CO 80439 | 2017-02-23 |
| 1801330923 | Leah Black | Dietitian, Registered | 2952 Conifer Circle, Evergreen, CO 80439 | 2016-12-08 |
| 1831640291 | Bear Creek Mental Health LLC | Community/Behavioral Health | 4911 Plettner Ln, Ste 210, Evergreen, CO 80439 | 2016-10-20 |
| 1164971974 | Animal-assisted Therapy of The Mountain Communities | Counselor | 28000 Meadow Dr Suite 105, Evergreen, CO 80439 | 2016-09-22 |
| 1093191793 | Jennifer Schreiber | Occupational Therapist | 1659 Stoneham Lane, Evergreen, CO 80439 | 2015-08-04 |
| 1366879371 | Victoria Carleen Bown | Physical Therapist | 32003 Ellingwood Trail, Evergreen, CO 80439 | 2013-10-04 |
| 1235563867 | Sharon Bland Morgan | Registered Nurse | 5435 So. Twinspruce Rd., Evergreen, CO 80439 | 2013-08-30 |
| 1720429129 | Lorna Mary Cochrane | Behavioral Analyst | 7345 Heiter Hill Dr., Evergreen, CO 80439 | 2013-07-13 |
| Find all providers in zip 80439 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009391 | Mindfulness Based Interventions LLC | Clinic/Center | 640 Sherman St., Unit H, Ridgway, CO 81432 | 2020-09-29 |
| 1447866876 | Wholehearted Therapy LLC | Clinic/Center | 7150 E Hampden Ave Ste 307, Denver, CO 80224-3057 | 2020-09-21 |
| 1902418965 | Klarisana Physician Services Pllc | Clinic/Center | 5005 W 81st Pl Ste 403, Westminster, CO 80031-7025 | 2020-08-20 |
| 1033736699 | A Phoenix Rising, LLC | Clinic/Center | 731 N Weber St Ste 211, Colorado Springs, CO 80903-1019 | 2020-06-30 |
| 1003433947 | Key Counseling, LLC. | Clinic/Center | 3705 Kipling, Optional, Wheat Ridge, CO 80033-8003 | 2020-06-26 |
| 1154941540 | Galia R. Abadi Inc. | Clinic/Center | 4155 E Jewell Ave Ste 1004, Denver, CO 80222-4514 | 2020-04-25 |
| 1063047900 | Map and The Mirror Counseling, LLC | Clinic/Center | 911 Two Rivers Dr, Telluride, CO 81435-9152 | 2020-03-11 |
| 1306478961 | Specialized Alternatives for Families and Youth of Colorado, Inc. | Clinic/Center | 12500 E Iliff Ave Ste 110, Aurora, CO 80014-1268 | 2020-02-11 |
| 1508497348 | Josmar Trejo-sanchez | Clinic/Center | 2460 W 26th Ave Ste 217c, Denver, CO 80211-5312 | 2020-01-30 |
| 1205466497 | Hummingbird Psychiatry | Clinic/Center | 204 Walnut St Ste F, Fort Collins, CO 80524-4441 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.