Organization Active NPI

Empowerment Wellness Services, LLC

  • Behavior Analyst
  • North Chesterfield, VA
National Provider Identifier
1437669058
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EMPOWERMENT WELLNESS SERVICES, LLC
Practice address
5725 Reedy Springs Dr
North Chesterfield, VA 23237-2623
Phone
(804) 252-1918
NPI assigned
Oct 10, 2017
Last updated
Jul 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Shalonda Watkins SandersNPI 1316610751
Title
Ceo
Phone
(804) 252-1918

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

5725 Reedy Springs Dr
North Chesterfield, VA 23237-2623

Mailing address

5725 Reedy Springs Dr
North Chesterfield, VA 23237-2623

Other identifiers 1

IdentifierTypeStateIssuer
000000000000000MedicaidVA

National Provider Directory

National Provider Directory

Locations

1901 Huguenot Rd
North Chesterfield, VA 23235
Phone (804) 613-2692

Practitioners & affiliated clinicians

Practitioners 1

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": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1437669058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 REEDY SPRINGS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232372623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 REEDY SPRINGS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232372623",
            "telephone_number": "804-252-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERMENT WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "SHALONDA",
        "authorized_official_middle_name": "WATKINS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-252-1918"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000000000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.