Organization Active NPI

Empowered Family

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Pleasant, SC
National Provider Identifier
1194386557
Registry record updated Jun 26, 2019
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 FAMILY
Practice address
1362 Sassafrass Cir
Mount Pleasant, SC 29466-8077
Phone
(520) 256-4951
NPI assigned
Jun 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Ashlin Blum, LISW-CP, BCBANPI 1750702460
Title
Executive Director
Phone
(520) 256-4951

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1362 Sassafrass Cir
Mount Pleasant, SC 29466-8077

Mailing address

1362 Sassafrass Cir
Mount Pleasant, SC 29466-8077
Phone (520) 256-4951

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1194386557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 SASSAFRASS CIR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668077",
            "telephone_number": "520-256-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 SASSAFRASS CIR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668077",
            "telephone_number": "520-256-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "ASHLIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-256-4951",
        "authorized_official_credential": "LISW-CP, BCBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.