AWAKE & ROOTED WELLNESS & RECOVERY, LLC
NPI 1407740582
Counselor - Addiction (Substance Use Disorder) in Nottingham, MD
About Awake & Rooted Wellness & Recovery, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AWAKE & ROOTED WELLNESS & RECOVERY, LLC (NPI 1407740582) is a healthcare organization registered as an addiction (substance use disorder) in Nottingham, Maryland and active in the NPI registry since June 2025. The organization lists Malcolm Lee Broadnax, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Awake & Rooted Wellness & Recovery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Awake & Rooted Wellness & Recovery, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Awake & Rooted Wellness & Recovery, LLC's NPI number?
The NPI number for Awake & Rooted Wellness & Recovery, LLC is 1407740582. It was assigned to this organization in the NPPES registry on June 4, 2025.
Where is Awake & Rooted Wellness & Recovery, LLC located?
Awake & Rooted Wellness & Recovery, LLC is located at 4412 Cole Farm Rd, Nottingham, MD 21236. The listed phone number is (443) 528-0822.
What is Awake & Rooted Wellness & Recovery, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Awake & Rooted Wellness & Recovery, LLC enrolled in Medicare?
Yes. Awake & Rooted Wellness & Recovery, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Awake & Rooted Wellness & Recovery, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Awake & Rooted Wellness & Recovery, LLC. 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 Awake & Rooted Wellness & Recovery, LLC was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Awake & Rooted Wellness & Recovery, Llc · NPI 1407740582
Addiction (Substance Use Disorder) organization in Nottingham, Maryland. Organization record, active in the CMS NPPES registry since June 4, 2025.
## Identity
- **NPI:** 1407740582 (Entity type: Organization)
- **Enumerated:** June 4, 2025
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Organization subpart:** No
- **Authorized official:** Malcolm Broadnax, OWNER
## Practice location
- **Address:** 4412 COLE FARM RD, Nottingham, MD 21236-2961
- **Phone:** (443) 528-0822
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407740582) · Data from the CMS NPPES public registry.