Empowering Change Counseling Services, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0002140 Issued in CT

Legal business name

EMPOWERING CHANGE COUNSELING SERVICES, LLC

Practice address

1177 Silas Deane Hwy
3Rd Floor
Wethersfield, CT 06109-4348

Phone

(860) 515-8868

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Kimberly Pepice

Title

Owner

Phone

(860) 515-8868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1396117115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LINCROFT DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081864",
            "telephone_number": "860-515-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 SILAS DEANE HWY",
            "address_2": "3RD FLOOR",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094348",
            "telephone_number": "860-515-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING CHANGE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "PEPICE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-515-8868"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CT",
            "license": "0002140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Rehabiltation Network
• Jefferson Ebube, MD
• Kristin Elek, APRN
• Ahmed Elwan, MD, RPVI
• David Keith Emmel, M.D.
• Ellyssa L Eror, MD
• Ezzedine Counseling Services, LLC
• Frances Arlene Fallon, MFT,LADC
• Sherif Farouk Khodiri Mahmoud
• Kevin Jonathan Finkel, M.D.

• Counselor in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.