Organization Active NPI

Empowerment Thru Expression, LLC

  • Mental Health Counselor
  • Laurel, MD
National Provider Identifier
1467843268
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16400 Issued in MD
Legal business name
EMPOWERMENT THRU EXPRESSION, LLC
Practice address
8333 Cherry LN
Laurel, MD 20707-4828
Phone
(240) 712-1221
NPI assigned
Feb 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Valeka E Moore, LCSWC
Title
Ceo
Phone
(240) 712-1221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 16400 MD Primary

Addresses

Primary practice location

8333 Cherry LN
Laurel, MD 20707-4828

Mailing address

8333 Cherry LN
Laurel, MD 20707-4828
Phone (240) 712-1221

Other identifiers 1

IdentifierTypeStateIssuer
1619271970MedicaidMD

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1467843268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074828",
            "telephone_number": "240-712-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074828",
            "telephone_number": "240-712-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERMENT THRU EXPRESSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "VALEKA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-712-1221",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "16400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619271970",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.