NPIMap

Organization Active NPI

Empowerment Clinical and Consulting Services

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1649357161
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
829 Issued in VA
Legal business name
EMPOWERMENT CLINICAL AND CONSULTING SERVICES
Practice address
830 Southlake Blvd Ste C
Richmond, VA 23236-3935
Phone
(804) 330-0074
Fax
(804) 378-7715
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Mr. Rudi L Jackson
Title
President
Phone
80433787710

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 829 VA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 829-03-001 VA
Community/Behavioral Health Agency 251S00000X 829 VA Primary

Addresses

Primary practice location

830 Southlake Blvd Ste C
Richmond, VA 23236-3935

Mailing address

830 Southlake Blvd Ste C
Richmond, VA 23236-3935
Phone (804) 330-0074

Other identifiers 1

IdentifierTypeStateIssuer
010298903MedicaidVA

National Provider Directory

National Provider Directory

Locations

830 Southlake Blvd
Ste C
North Chesterfield, VA 23236
Phone (804) 330-0074

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1649357161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SOUTHLAKE BLVD STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232363935",
            "telephone_number": "804-330-0074",
            "fax_number": "804-378-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SOUTHLAKE BLVD STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232363935",
            "telephone_number": "804-330-0074",
            "fax_number": "804-378-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERMENT CLINICAL AND CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RUDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "80433787710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "VA",
            "license": "829",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "829-03-001",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010298903",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.