AWAKEN WELLNESS
NPI 1386114692
Counselor - Mental Health in Glen Head, NY
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Awaken Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Awaken Wellness, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Chanel V. Tazza, Mental Health Counseling, P.C. enrolled in Medicare?
Yes. Chanel V. Tazza, Mental Health Counseling, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chanel V. Tazza, Mental Health Counseling, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Chanel V. Tazza, Mental Health Counseling, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Awaken Wellness · NPI 1386114692
Mental Health organization in Glen Head, New York. Organization record, active in the CMS NPPES registry since November 29, 2018.
## Identity
- **NPI:** 1386114692 (Entity type: Organization)
- **Enumerated:** November 29, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Legal business name:** Chanel V. Tazza, Mental Health Counseling, P.c.
- **Organization subpart:** No
- **Authorized official:** Chanel Tazza, MENTAL HEALTH COUNSELOR/OWNER
## Practice location
- **Address:** 63 SCUDDERS LN, Glen Head, NY 11545-1535
- **Phone:** (646) 456-0819
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Mental Health Counselor) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2024
- **Other identifiers:** Other 1053510354 (NY); Other 1386114692 (NY); Medicaid 07679601 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1386114692) · Data from the CMS NPPES public registry.