Empower to Success Enterprise LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMPOWER TO SUCCESS ENTERPRISE LLC

Practice address

5820 E WT Harris Blvd Ste 208
Charlotte, NC 28215-4032

Phone

(980) 335-1972

NPI assigned

Dec 3, 2019

Organization subpart

No

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

Authorized official

Name

Gary Jamar Kasey, LCSWANPI 1689371064

Title

Clinical Director

Phone

(412) 381-3873

Specialties & licenses 1

Addresses

Tax ID family

Empower to Success Enterprise LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Empower to Success Enterprise LLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1326620477
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Empower to Success Enterprise LLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1326620477
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary J Kasey, LCSWA

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1689371064
  NPD Authorized official

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1124665641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 E WT HARRIS BLVD STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154032",
            "telephone_number": "980-335-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 E WT HARRIS BLVD STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154032",
            "telephone_number": "980-335-1972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 5th Ave Ste 1416",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152222419",
            "country_code": "US",
            "telephone_number": "170-429-9719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWER TO SUCCESS ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "KASEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JAMAR",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "412-381-3873",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.