Organization Active NPI

Empowered Mental Health, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bismarck, ND
National Provider Identifier
1164124368
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EMPOWERED MENTAL HEALTH, PLLC
Practice address
1424 W Century Ave Ste 103
Bismarck, ND 58503-0917
Phone
(701) 516-4298
NPI assigned
Mar 20, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Delrae Amann
Title
Authorized Official
Phone
(701) 371-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1424 W Century Ave Ste 103
Bismarck, ND 58503-0917

Mailing address

2812 Whitlow St
Lincoln, ND 58504-8006
Phone (701) 516-4298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907004084 ND Part B Supplier - Clinic/Group Practice 1658735782 Receives reassigned benefits from 3 practitioners
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

101 Slate Dr
Ste 7
Bismarck, ND 58503
Phone (701) 805-1939

1424 W Century Ave
Ste 103
Bismarck, ND 58503
Phone (701) 516-4298

Practitioners & affiliated clinicians

Practitioners 7

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": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1164124368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 WHITLOW ST",
            "city": "LINCOLN",
            "state": "ND",
            "postal_code": "585048006",
            "telephone_number": "701-516-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 W CENTURY AVE STE 103",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030917",
            "telephone_number": "701-516-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "AMANN",
        "authorized_official_first_name": "DELRAE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "701-371-6166"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.