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AWAKEN INSIGHT
NPI 1689216616
Social Worker - Clinical in Volcano, HI

Active since October 10, 2019
11-3784 2ND ST, VOLCANO, HI 96785(210) 527-8755(210) 714-9757 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2023, Dec 23, 2019, Oct 10, 2019 (3 updates tracked since 2019).

About Awaken Insight NPPES

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

AWAKEN INSIGHT (NPI 1689216616) is a healthcare organization registered as a clinical in Volcano, Hawaii and active in the NPI registry since October 2019. The organization lists Jesse Ryan Cardin, Founder/owner/manager/provider, as its authorized official.

NPPES Registry Identity

NPI1689216616
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAWAKEN INSIGHT
Location Address11-3784 2ND STVolcano, HI 96785
Mailing Address2186 Jackson Keller Rd, Pmb 3081San Antonio, TX 78213 · (210) 527-8755 · Fax (210) 714-9757
Phone(210) 527-8755
Fax(210) 714-9757
Organization SubpartNo
Authorized OfficialJesse Ryan CardinFounder/owner/manager/provider · (210) 527-8755
Enumeration DateOctober 10, 2019
Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1689216616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
11-3784 2ND ST, Volcano, HI 96785
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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

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 Insight 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 Awaken Insight, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jesse Cardin, LCSW
Clinical Social Worker
NPI 1801437314
11-3784 2ND ST
Volcano, HI 96785
(210) 527-8755
✔ PECOS✔ Accepts MedicareSame address

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 Insight's NPI number?

The NPI number for Awaken Insight is 1689216616. It was assigned to this organization in the NPPES registry on October 10, 2019.

Where is Awaken Insight located?

Awaken Insight is located at 11-3784 2nd St, Volcano, HI 96785. The listed phone number is (210) 527-8755.

What is Awaken Insight's specialty?

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

Is Awaken Insight enrolled in Medicare?

Yes. Awaken Insight is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Awaken Insight?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Awaken Insight. 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 Awaken Insight was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.