Active NPI
Empower House Center for Self-Efficacy PLLC
- Mental Health Counselor
- Cornelius, NC
National Provider Identifier
1285246629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Retarides, LCMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1144621921
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.