Empowered Therapies & Education LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EMPOWERED THERAPIES & EDUCATION LLC

Practice address

700 Rayovac Drive
Suite #320
Madison, WI 53711-2128

Phone

(715) 439-0660

NPI assigned

May 30, 2019

Organization subpart

No

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

Authorized official

Name

Carissa Dietzler

Title

LPC / Owner

Phone

(715) 439-0660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1487212064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAYOVAC DRIVE",
            "address_2": "SUITE #320",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAYOVAC DRIVE",
            "address_2": "SUITE #320",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112128",
            "telephone_number": "715-439-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED THERAPIES & EDUCATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "DIETZLER",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "LPC / OWNER",
        "authorized_official_telephone_number": "715-439-0660"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.