NPIMap

Organization Active NPI

Family Empowerment Associates, LLC

  • Mental Health Counselor
  • Galloway, NJ
National Provider Identifier
1437365830
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY EMPOWERMENT ASSOCIATES, LLC
Practice address
76 W Jimmie Leeds Rd Ste 305
Galloway, NJ 08205-9418
Phone
(609) 916-6500
Fax
(609) 798-0112
NPI assigned
May 15, 2007
Last updated
Jul 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Lexa Moreno
Title
HR Manager
Phone
(609) 916-6500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

76 W Jimmie Leeds Rd Ste 305
Galloway, NJ 08205-9418

Mailing address

76 W Jimmie Leeds Rd Ste 305
Galloway, NJ 08205-9418
Phone (609) 916-6500

Other identifiers 1

IdentifierTypeStateIssuer
0057037OtherNJPARTNERSHIP FOR CHILDREN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230418002643 NJ Part B Supplier - Clinic/Group Practice 4688049919 Receives reassigned benefits from 5 practitioners
Practice locations: Galloway, NJ

National Provider Directory

National Provider Directory
Tax ID family
Family Empowerment Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1437365830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD STE 305",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059418",
            "telephone_number": "609-916-6500",
            "fax_number": "609-798-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD STE 305",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059418",
            "telephone_number": "609-916-6500",
            "fax_number": "609-798-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EMPOWERMENT ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "LEXA",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "609-916-6500"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERSHIP FOR CHILDREN",
            "identifier": "0057037",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.