Active NPI
Empowered Wellness Coaching
- Mental Health Counselor
- Havre de Grace, MD
National Provider Identifier
1518862630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EMPOWERED WELLNESS COACHING
- Practice address
- 203 Market St Ste 302
Havre de Grace, MD 21078-3280 - Phone
- (443) 987-6498
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Mizak, LCSW-C
- Title
- Owner/ Therapist
- Phone
- (732) 690-7435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
203 Market St Ste 302
Havre de Grace, MD 21078-3280
Mailing address
203 Market St Ste 302
Havre de Grace, MD 21078-3280
Phone (443) 987-6498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1518862630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 MARKET ST STE 302",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783280",
"telephone_number": "443-987-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 MARKET ST STE 302",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783280",
"telephone_number": "443-987-6498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERED WELLNESS COACHING",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "MIZAK",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER/ THERAPIST",
"authorized_official_telephone_number": "732-690-7435",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havre de Grace, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.