Organization Active NPI

Empower Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edina, MN
National Provider Identifier
1629894647
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EMPOWER THERAPY LLC
Practice address
5275 Edina Industrial Blvd Ste 209
Edina, MN 55439-2916
Phone
(612) 799-9656
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Kowsarina Ahmed, LPCCNPI 1104651801
Title
Director
Phone
(612) 799-9656

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5275 Edina Industrial Blvd Ste 209
Edina, MN 55439-2916

Mailing address

5275 Edina Industrial Blvd Ste 209
Edina, MN 55439-2916
Phone (612) 799-9656

National Provider Directory

National Provider Directory

Locations

5275 Edina Industrial Blvd
Ste 209
Edina, MN 55439
Phone (612) 409-5795

Practitioners & affiliated clinicians

Practitioners 1

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": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1629894647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 209",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392916",
            "telephone_number": "612-799-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 209",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392916",
            "telephone_number": "612-799-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "KOWSARINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-799-9656",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.