Organization Active NPI

Empowering Minds Counseling LLC

  • Clinical Social Worker
  • Laureldale, PA
National Provider Identifier
1023601705
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMPOWERING MINDS COUNSELING LLC
Practice address
3803 Kutztown Rd
Laureldale, PA 19605-1844
Phone
(610) 507-1977
NPI assigned
Feb 14, 2021
Last updated
Feb 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marisol Perez-Cadena, LCSWNPI 1922342781
Title
Behavioral Health Provider
Phone
(610) 507-1977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3803 Kutztown Rd
Laureldale, PA 19605-1844

Mailing address

3803 Kutztown Rd
Laureldale, PA 19605-1844
Phone (610) 507-1977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210625000594 PA Part B Supplier - Clinic/Group Practice 8820499031 Receives reassigned benefits from 1 practitioner
Practice locations: Laureldale, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613260800000",
    "number": "1023601705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 KUTZTOWN RD",
            "city": "LAURELDALE",
            "state": "PA",
            "postal_code": "196051844",
            "telephone_number": "610-507-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 KUTZTOWN RD",
            "city": "LAURELDALE",
            "state": "PA",
            "postal_code": "196051844",
            "telephone_number": "610-507-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING MINDS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "PEREZ-CADENA",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "610-507-1977",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laureldale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.