Organization Active NPI

Empower House Center for Self-Efficacy PLLC

  • Mental Health Counselor
  • Cornelius, NC
National Provider Identifier
1285246629
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMPOWER HOUSE CENTER FOR SELF-EFFICACY PLLC
Practice address
17714 Kings Point Dr Ste B2
Cornelius, NC 28031-6928
Phone
(203) 804-7649
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
James Retarides, LCMHCNPI 1144621921
Title
Founder
Phone
(203) 804-7649

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

17714 Kings Point Dr Ste B2
Cornelius, NC 28031-6928

Mailing address

17714 Kings Point Dr Ste B2
Cornelius, NC 28031-6928

National Provider Directory

National Provider Directory

Locations

17714 Kings Point Dr
Ste B2
Cornelius, NC 28031
Phone (203) 804-7649

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": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1285246629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17714 KINGS POINT DR STE B2",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17714 KINGS POINT DR STE B2",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316928",
            "telephone_number": "203-804-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER HOUSE CENTER FOR SELF-EFFICACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "RETARIDES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "203-804-7649",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.