NPIMap

Organization Active NPI

Mpower Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danville, IL
National Provider Identifier
1417434861
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
180.009488 Issued in IL
Legal business name
MPOWER COUNSELING, PLLC
Practice address
1300 E Main St
Danville, IL 61832-5051
Phone
(765) 893-1790
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Mrs. Mickensy Leigh Ellis-White, LCPCNPI 1891287066
Title
Owner
Phone
(765) 893-1790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 180.009488 IL Primary

Addresses

Primary practice location

1300 E Main St
Danville, IL 61832-5051

Mailing address

1300 E Main St
Danville, IL 61832-5051
Phone (765) 893-1790

National Provider Directory

National Provider Directory
Tax ID family
Mpower Counseling PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1300 E Main St
Danville, IL 61832
Phone (765) 893-1790

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": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1417434861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325051",
            "telephone_number": "765-893-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325051",
            "telephone_number": "765-893-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPOWER COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "ELLIS-WHITE",
        "authorized_official_first_name": "MICKENSY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-893-1790",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "180.009488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.