Organization Active NPI

Empowered Counseling, PLLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1548885189
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMPOWERED COUNSELING, PLLC
Practice address
7530 103Rd St Ste 7
Jacksonville, FL 32210-6786
Phone
(904) 337-9073
Fax
(904) 337-4448
NPI assigned
Jun 9, 2020
Last updated
Jul 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Mrs. Christan Bennett Brooks, LCSW
Title
Therapist and Owner
Phone
(904) 631-9771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7530 103Rd St Ste 7
Jacksonville, FL 32210-6786

Mailing address

7530 103Rd St Ste 7
Jacksonville, FL 32210-6786
Phone (904) 337-9073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1548885189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 103RD ST STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106786",
            "telephone_number": "904-337-9073",
            "fax_number": "904-337-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 103RD ST STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106786",
            "telephone_number": "904-337-9073",
            "fax_number": "904-337-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CHRISTAN",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "THERAPIST AND OWNER",
        "authorized_official_telephone_number": "904-631-9771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.