Organization Active NPI

Empowered Minds

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1467918003
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMPOWERED MINDS
Practice address
1022 Pontiac St
Denver, CO 80220-4830
Phone
(720) 463-1339
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

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

Authorized official

Name
Rachel Regina, LCSWNPI 1013473644
Title
Owner
Phone
(609) 517-2739

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1022 Pontiac St
Denver, CO 80220-4830

Mailing address

1022 Pontiac St
Denver, CO 80220-4830
Phone (720) 463-1339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190409002095 CO Part B Supplier - Clinic/Group Practice 1052652682 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713052800000",
    "number": "1467918003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 PONTIAC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204830",
            "telephone_number": "720-463-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 PONTIAC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204830",
            "telephone_number": "720-463-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "REGINA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-517-2739",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; 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.