Organization Active NPI

Empower Counseling and Therapy, PLLC

  • Clinical Social Worker
  • Norwich, CT
National Provider Identifier
1275092777
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMPOWER COUNSELING AND THERAPY, PLLC
Practice address
12 Case St Ste 201
Norwich, CT 06360-2222
Phone
(860) 710-8815
Fax
(860) 464-2806
NPI assigned
Mar 14, 2019
Last updated
Mar 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Cynthia Lou Mason-Jones, LCSW
Title
Owner/Manager
Phone
(860) 710-8815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

12 Case St Ste 201
Norwich, CT 06360-2222

Mailing address

24 Queen Eleanor Dr
Gales Ferry, CT 06335-1315
Phone (860) 710-8815

Other identifiers 1

IdentifierTypeStateIssuer
008023926MedicaidCT

National Provider Directory

National Provider Directory

Locations

12 Case St
Ste 201
Norwich, CT 06360
Phone (860) 710-8815

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1275092777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 QUEEN ELEANOR DR",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063351315",
            "telephone_number": "860-710-8815",
            "fax_number": "860-464-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CASE ST STE 201",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602222",
            "telephone_number": "860-710-8815",
            "fax_number": "860-464-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER COUNSELING AND THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "MASON-JONES",
        "authorized_official_first_name": "CYNTHIA LOU",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "860-710-8815",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008023926",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.