AWAKEN RECOVERY COUNSELING CENTER LLC
NPI 1629952882
Counselor - Mental Health in St Louis Park, MN

Q: What is Awaken Recovery Counseling Center LLC's specialty?

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

Active since August 01, 2025

1650 W END BLVD STE 100, ST LOUIS PARK, MN 55416(763) 331-2161(763) 331-2161 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Awaken Recovery Counseling Center Llc NPPES

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

AWAKEN RECOVERY COUNSELING CENTER LLC (NPI 1629952882) is a healthcare organization registered as a mental health in St Louis Park, Minnesota and active in the NPI registry since August 2025. The organization lists Jessica Marie Coleman, Ceo/therapist, as its authorized official.

NPPES Registry Identity

NPI1629952882

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameAWAKEN RECOVERY COUNSELING CENTER LLC

Location Address1650 W END BLVD STE 100St Louis Park, MN 55416-5369

Mailing Address1650 W End Blvd Ste 100St Louis Park, MN 55416-5369 · (763) 331-2161 · Fax (763) 331-2161

Phone(763) 331-2161

Fax(763) 331-2161

Organization SubpartNo

Authorized OfficialJessica Marie ColemanCeo/therapist · (763) 331-2161

Enumeration DateAugust 1, 2025

NPPES CertifiedAugust 1, 2025

✔ NPI 1629952882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

1650 W END BLVD STE 100, St Louis Park, MN 55416

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Recovery Counseling Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Awaken Recovery Counseling Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jessica Coleman

Clinical Social Worker

NPI 1003118787

1650 W END BLVD STE 100
St Louis Park, MN 55416

(763) 331-2161

✔ PECOSSame address

Jacqueline Coleman, CERTIFIED DOULA

Clinical Social Worker

NPI 1356642433

1313 PENN AVE N
Minneapolis, MN 55411

(612) 543-2605

✔ PECOS✔ Accepts Medicare2.6 mi

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 Awaken Recovery Counseling Center LLC's NPI number?

The NPI number for Awaken Recovery Counseling Center LLC is 1629952882. It was assigned to this organization in the NPPES registry on August 1, 2025.

Where is Awaken Recovery Counseling Center LLC located?

Awaken Recovery Counseling Center LLC is located at 1650 W End Blvd Ste 100, St Louis Park, MN 55416. The listed phone number is (763) 331-2161.

What is Awaken Recovery Counseling Center LLC's specialty?

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

Is Awaken Recovery Counseling Center LLC enrolled in Medicare?

Yes. Awaken Recovery Counseling Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Awaken Recovery Counseling Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Awaken Recovery Counseling Center 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Awaken Recovery Counseling Center LLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.