Max Empowerment, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC004618 Issued in GA

Legal business name

MAX EMPOWERMENT, LLC

Practice address

217 Arrowhead Blvd
Suite a-4
Jonesboro, GA 30236-1169

Phone

(678) 545-0498

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Kisha P Thomas, M.S.NPI 1366779951

Title

Owner/Therapist

Phone

(678) 545-0498

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kisha P Thomas, LPC

  • Mental Health Counselor
  • Jonesboro, GA
  • NPI 1366779951
  NPD (past) Authorized official
• Marla Jean Patterson, LPC

  • Professional Counselor
  • Jonesboro, GA
  • NPI 1700020807
  NPD (past)

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1396282943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "REX",
            "state": "GA",
            "postal_code": "302730296",
            "telephone_number": "678-545-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ARROWHEAD BLVD",
            "address_2": "SUITE A-4",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361169",
            "telephone_number": "678-545-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX EMPOWERMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KISHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "678-545-0498",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC004618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Marcus Masek, DDS
• Masst LLC
• Vinay Kumar Matai, D.P.M
• Doreen Matthews
• Janice C Matthewson, MD
• Kristin Renee Mayo, DC
• Paul Christian Mayor, M.D.
• Mayuga Family Medicine LLC
• Valerie L McAdams, PSY.D.
• Tanya McAllister

• Community/Behavioral Health Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.