AWAKEN WELLNESS
NPI 1386114692
Counselor - Mental Health in Glen Head, NY

Q: What is Chanel V. Tazza, Mental Health Counseling, P.C.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since November 29, 2018

63 SCUDDERS LN, GLEN HEAD, NY 11545(646) 456-0819 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2023, Aug 19, 2019, Nov 29, 2018 (3 updates tracked since 2018).

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About Awaken Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AWAKEN WELLNESS (NPI 1386114692) is a healthcare organization registered as a mental health in Glen Head, New York and active in the NPI registry since November 2018. The organization maintains a secondary practice location in Ridgewood and lists Chanel Viviana Tazza, Mental Health Counselor/owner, as its authorized official.

NPPES Registry Identity

NPI1386114692

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameCHANEL V. TAZZA, MENTAL HEALTH COUNSELING, P.C.

Location Address63 SCUDDERS LNGlen Head, NY 11545-1535

Mailing Address63 Scudders LnGlen Head, NY 11545-1535 · (646) 456-0819

Phone(646) 456-0819

Organization SubpartNo

Authorized OfficialChanel Viviana TazzaMental Health Counselor/owner · (646) 456-0819

Enumeration DateNovember 29, 2018

Last NPPES UpdateMarch 28, 20243 updates tracked since enumeration

NPPES CertifiedMarch 28, 2024

✔ NPI 1386114692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

63 SCUDDERS LN, Glen Head, NY 11545

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Other Names 1

Doing Business AsAwaken Wellness

Secondary Practice Location 1

Location 15913 Grove StRidgewood, NY 11385-2647 · Phone (646) 456-0819

Other Identifiers 3

Other1053510354NY · Npi Type I

Other1386114692NY · Group Practice Npi

Medicaid07679601NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chanel V. Tazza, Mental Health Counseling, P.C.'s NPI number?

The NPI number for Chanel V. Tazza, Mental Health Counseling, P.C. is 1386114692. It was assigned to this organization in the NPPES registry on November 29, 2018. The provider is doing business as Awaken Wellness.

Where is Chanel V. Tazza, Mental Health Counseling, P.C. located?

Chanel V. Tazza, Mental Health Counseling, P.C. is located at 63 Scudders Ln, Glen Head, NY 11545. The listed phone number is (646) 456-0819.

What is Chanel V. Tazza, Mental Health Counseling, P.C.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Chanel V. Tazza, Mental Health Counseling, P.C. was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.