Organization Active NPI

Empowering Light Counseling, LLC

  • Clinical Social Worker
  • Montgomery, TX
National Provider Identifier
1285306316
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMPOWERING LIGHT COUNSELING, LLC
Practice address
2300 Woodforest Pkwy N Ste 250-432
Montgomery, TX 77316-6501
Phone
(936) 220-1383
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Zoe L. Ingalls, LCSWNPI 1548758048
Title
Owner/Counselor
Phone
(936) 213-0459

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
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2300 Woodforest Pkwy N Ste 250-432
Montgomery, TX 77316-6501

Mailing address

2300 Woodforest Pkwy N Ste 250-432
Montgomery, TX 77316-6501
Phone (936) 220-1383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220121001609 TX Part B Supplier - Clinic/Group Practice 0648662700 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery, TX

National Provider Directory

National Provider Directory

Locations

2300 Woodforest Pkwy N
Ste 250432
Montgomery, TX 77316
Phone (936) 213-0459

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": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1285306316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WOODFOREST PKWY N STE 250-432",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166501",
            "telephone_number": "936-220-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WOODFOREST PKWY N STE 250-432",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166501",
            "telephone_number": "936-220-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING LIGHT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "INGALLS",
        "authorized_official_first_name": "ZOE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "936-213-0459",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.