Impower, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IMPOWER, INC

Practice address

111 W Magnolia Ave
Longwood, FL 32750-4130

Phone

(407) 215-0095

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Isabel Velasquez

Title

Cfo

Phone

(407) 215-0095

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Impower Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Impower, Inc

  • Community/Behavioral Health Agency
  • Longwood, FL
  • NPI 1104910868
  NPD tax ID
• Impower, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Winter Springs, FL
  • NPI 1669047734
  NPD tax ID

Locations

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1255005161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MAGNOLIA AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504130",
            "telephone_number": "407-215-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MAGNOLIA AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504130",
            "telephone_number": "407-215-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPOWER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-215-0095"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7590270-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imad Tahbub MD LLC
• Imaginary Rainbow LLC
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• Impower
• Impower, Inc
• In Harmony Counseling LLC
• Individual Provider
• Nicole Louise Ingrando, D.C.
• Integumentary Physiotherapy Institute, LLC
• Intensive Guidance LLC

• Mental Health Counselor in Longwood, FL
• Providers in Longwood, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.