Empowered Growth Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMPOWERED GROWTH COUNSELING

Practice address

2809 Connery Way Ste B
Missoula, MT 59808-1955

Phone

(208) 502-0664

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Candace Mirea, LCSW, LACNPI 1922557123

Title

Therapist

Phone

(208) 502-0664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 1

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

• Candace Mirea, LCSW, LAC

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1922557123
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1134737620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 CONNERY WAY STE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081955",
            "telephone_number": "208-502-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 CONNERY WAY STE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081955",
            "telephone_number": "208-502-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED GROWTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "MIREA",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "208-502-0664",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi S.M. Elwood, LCSW
• Embodied Wild Integrative Counseling
• Emeritus Corporation
• Michael Emery, LMT
• Emmaneul LLC
• Empowerment Collective LLC
• Carol G Enderle, NP
• Colleen Sheryl Enderle, LCSW
• Endurance Physio
• Sara Mae Engberg, RD, LN

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.