Empowerment & Transformation, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T0724 Issued in OR

Legal business name

EMPOWERMENT & TRANSFORMATION, INC.

Practice address

189 Liberty St NE
Suite 202
Salem, OR 97301-3682

Phone

(503) 409-5086

NPI assigned

Sep 26, 2016

Last updated

Sep 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Ann Fahlstrom, LMFTNPI 1649340084

Title

President

Phone

(503) 409-5086

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ann Fahlstrom, MFT 47696

  • Marriage & Family Therapist
  • Salem, OR
  • NPI 1649340084
  NPD (past) Authorized official

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1326597808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2893",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973082893",
            "telephone_number": "503-409-5086",
            "fax_number": "503-967-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 LIBERTY ST NE",
            "address_2": "SUITE 202",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013682",
            "telephone_number": "503-409-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERMENT & TRANSFORMATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "FAHLSTROM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-409-5086",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Mae Emick, RDH
• Tyler John Emmert, D.C.
• Rebekah Marie Emmons
• Simonpeter O Emokpaire, NP
• Empowering Choices Counseling & Consultation
• En8 Inc. (Aspen Pain Clinic)
• En8 Pain Management
• Jeffrey Michael Enderle, B.S
• Emma Elizabeth Engel, QMHA-R
• Angela Susanne Engelberth, RPH

• Marriage & Family Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.