INNER AWAKENINGS DIAGNOSTIC AND COUNSELING CLINIC
NPI 1679788103
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pewaukee, WI

Q: What is Inner Awakenings Diagnostic And Counseling Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since May 10, 2007

436 OAKTON AVE, PEWAUKEE, WI 53072(262) 691-2581(262) 691-2761 Get Directions Write a Review

NPPES record last updated: February 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Inner Awakenings Diagnostic And Counseling Clinic NPPES

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

INNER AWAKENINGS DIAGNOSTIC AND COUNSELING CLINIC (NPI 1679788103) is a healthcare organization registered as a mental health (including community mental health center) in Pewaukee, Wisconsin and active in the NPI registry since May 2007. The organization lists Melissa A Ford, Owner, as its authorized official.

NPPES Registry Identity

NPI1679788103

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameINNER AWAKENINGS DIAGNOSTIC AND COUNSELING CLINIC

Location Address436 OAKTON AVEPewaukee, WI 53072-3542

Mailing Address436 Oakton AvePewaukee, WI 53072-3542 · (262) 691-2581 · Fax (262) 691-2761

Phone(262) 691-2581

Fax(262) 691-2761

Organization SubpartNo

Authorized OfficialMelissa A FordOwner · (262) 691-2581

Enumeration DateMay 10, 2007

Last NPPES UpdateFebruary 19, 2010

✔ NPI 1679788103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in WI · HFS61.91

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License HFS61.91 (WI)

436 OAKTON AVE, Pewaukee, WI 53072

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Other Identifiers 1

Medicaid42226000WI

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 Inner Awakenings Diagnostic And Counseling Clinic's NPI number?

The NPI number for Inner Awakenings Diagnostic And Counseling Clinic is 1679788103. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Inner Awakenings Diagnostic And Counseling Clinic located?

Inner Awakenings Diagnostic And Counseling Clinic is located at 436 Oakton Ave, Pewaukee, WI 53072. The listed phone number is (262) 691-2581.

What is Inner Awakenings Diagnostic And Counseling Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Inner Awakenings Diagnostic And Counseling Clinic was last updated on February 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.