Awaken Recovery Counseling Center LLC
NPI 1629952882ActiveOrganization· Counselor, Mental Health· St Louis Park, MN
Counselor, Mental Health in St Louis Park, Minnesota, registered in NPPES in August 2025. The authorized official on file is Jessica Marie Coleman, LICSW, Ceo/Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629952882 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2025 |
| Last updated in NPPES | Mar 1, 2026 |
| Certified by provider | Mar 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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