MENTAL AWAKENING COUNSELING, LLC
NPI 1659084630
Social Worker - Clinical in Panama City Beach, FL

Active since January 04, 2023
5 MIRACLE STRIP LOOP STE 8, PANAMA CITY BEACH, FL 32407(850) 235-8495(850) 235-8495 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2026, Jun 20, 2025, Jan 4, 2023 (3 updates tracked since 2023).

About Mental Awakening Counseling, Llc NPPES

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

MENTAL AWAKENING COUNSELING, LLC (NPI 1659084630) is a healthcare organization registered as a clinical in Panama City Beach, Florida and active in the NPI registry since January 2023. The organization lists Robin Lynn Jordan, Owner And Provider, as its authorized official.

NPPES Registry Identity

NPI1659084630
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMENTAL AWAKENING COUNSELING, LLC
Location Address5 MIRACLE STRIP LOOP STE 8Panama City Beach, FL 32407-8410
Mailing Address5 Miracle Strip Loop Ste 8Panama City Beach, FL 32407-8410 · (850) 235-8495 · Fax (850) 235-8495
Fax(850) 235-8495
Organization SubpartNo
Authorized OfficialRobin Lynn JordanOwner And Provider · (502) 689-1613
Enumeration DateJanuary 4, 2023
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1659084630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedContractorTaxonomy 171W00000X
5 MIRACLE STRIP LOOP STE 8, Panama City Beach, FL 32407

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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mental Awakening Counseling, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Mental Health Counselor
NPI 1164815049
5 MIRACLE STRIP LOOP STE 8
Panama City Beach, FL 32407
(850) 235-8495
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1922430909
499 N RICHARD JACKSON BLVD
Panama City Beach, FL 32407
(352) 210-9876
✔ PECOS✔ Accepts Medicare0.8 mi
Mental Health Counselor
NPI 1174854830
5 MIRACLE STRIP LOOP STE 15
Panama City Beach, FL 32407
(970) 799-0021
✔ PECOS✔ Accepts Medicare2.3 mi
Clinical Social Worker
NPI 1568836997
5 MIRACLE STRIP LOOP STE 15
Panama City Beach, FL 32407
(850) 235-8495
✔ PECOS✔ Accepts Medicare2.3 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 Mental Awakening Counseling, LLC's NPI number?

The NPI number for Mental Awakening Counseling, LLC is 1659084630. It was assigned to this organization in the NPPES registry on January 4, 2023.

Where is Mental Awakening Counseling, LLC located?

Mental Awakening Counseling, LLC is located at 5 Miracle Strip Loop Ste 8, Panama City Beach, FL 32407. The listed phone number is (850) 235-8495.

What is Mental Awakening Counseling, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mental Awakening Counseling, LLC enrolled in Medicare?

Yes. Mental Awakening Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mental Awakening Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Mental Awakening Counseling, 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. The largest specialties are Mental Health Counselor (3) and Clinical Social Worker (1). Of these, 1 practice at this address and 4 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 Mental Awakening Counseling, LLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.