Empowered for Excellence, Empowering Youth, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

EMPOWERED FOR EXCELLENCE, EMPOWERING YOUTH, LLC

Practice address

3170 W Central Ave Ste G
Toledo, OH 43606-2945

Phone

(310) 981-3332

NPI assigned

Aug 4, 2021

Organization subpart

Yes

Parent organization

EMPOWERED FOR EXCELLENCE, EMPOWERING YOUTH, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Jonathan James

Title

Chief Operating Officer

Phone

(310) 981-3332

Specialties & licenses 2

Addresses

Tax ID family

Empowered for Excellence2 organizations share this tax ID, including this one

Part of

Empowered for Excellence

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Empowered for Excellence, Empowering Youth, LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1700457181
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/empoweringyouth/r4/

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Empowered for Excellence, Empowering Youth, LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1700457181
  NPPES parent name

Practitioners 1

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

• Lilia Barrera, QMHS

  • Case Manager/Care Coordinator
  • Toledo, OH
  • NPI 1376322891
  NPD

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1407520497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 W CENTRAL AVE STE G",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062945",
            "telephone_number": "310-981-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 W CENTRAL AVE STE G",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062945",
            "telephone_number": "310-981-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED FOR EXCELLENCE, EMPOWERING YOUTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPOWERED FOR EXCELLENCE, EMPOWERING YOUTH, LLC",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "310-981-3332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowered for Excellence
• Empowered for Excellence Behavioral Health Ohio
• Empowered for Excellence Behavioral Health Ohio
• Empowered for Excellence Behavioral Health Ohio
• Empowered for Excellence Behavioral Health Ohio
• Empowered for Excellence, Empowering Youth, LLC
• Empowered Insight Counseling and Consulting LLC
• Empowering Connections CDC
• Empowerment Zone for Resilience and Achievements
• Empress 2 Inspire , LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Toledo, OH
• Providers in Toledo, OH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.