Organization Active NPI

Empoweru Therapy Services LLC

  • Mental Health Counselor
  • Medford, MA
National Provider Identifier
1326815515
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMPOWERU THERAPY SERVICES LLC
Practice address
437 High St
Medford, MA 02155-3632
Phone
(617) 855-7799
NPI assigned
Dec 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Jolene Hadaway
Title
Manager
Phone
(617) 855-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

437 High St
Medford, MA 02155-3632

Mailing address

437 High St
Medford, MA 02155-3632
Phone (617) 855-7799

Other identifiers 1

IdentifierTypeStateIssuer
1306358452MedicaidMA

National Provider Directory

National Provider Directory

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": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1326815515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553632",
            "telephone_number": "617-855-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553632",
            "telephone_number": "617-855-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERU THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "HADAWAY",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-855-7799"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306358452",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.