Organization Active NPI

Empowered Wellness Coaching

  • Mental Health Counselor
  • Havre de Grace, MD
National Provider Identifier
1518862630
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.