Organization Active NPI

Empowered Path Psychotherapy for Anxiety and Ocd, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wadsworth, IL
National Provider Identifier
1194491415
Registry record updated Mar 21, 2025
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 PATH PSYCHOTHERAPY FOR ANXIETY AND OCD, PLLC
Practice address
3075 N Augusta Dr
Wadsworth, IL 60083-9283
Phone
(847) 804-6801
NPI assigned
Aug 17, 2021
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Samantha Rouette, LCSWNPI 1952883282
Title
Owner/Founder/Lead Therapist
Phone
(847) 804-6801

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU

Addresses

Primary practice location

3075 N Augusta Dr
Wadsworth, IL 60083-9283

Mailing address

3075 N Augusta Dr
Wadsworth, IL 60083-9283
Phone (847) 804-6801

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, 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": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1194491415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 N AUGUSTA DR",
            "city": "WADSWORTH",
            "state": "IL",
            "postal_code": "600839283",
            "telephone_number": "847-804-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 N AUGUSTA DR",
            "city": "WADSWORTH",
            "state": "IL",
            "postal_code": "600839283",
            "telephone_number": "847-804-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED PATH PSYCHOTHERAPY FOR ANXIETY AND OCD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "ROUETTE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/FOUNDER/LEAD THERAPIST",
        "authorized_official_telephone_number": "847-804-6801",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.