Active NPI
Empowered Change: Counseling & Education
- Mental Health Counselor
- Golden, CO
National Provider Identifier
1649748286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EMPOWERED CHANGE: COUNSELING & EDUCATION
- Practice address
- 800 Washington Ave
Suite D
Golden, CO 80401 - Phone
- (720) 443-1278
- Fax
- (720) 368-5056
- NPI assigned
- Nov 12, 2018
- 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
- Timothy A Wienecke, MA, LPC, LAC
- Title
- President
- Phone
- (720) 443-1278
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
800 Washington Ave
Suite D
Golden, CO 80401
Mailing address
800 Washington Ave Apt D
Golden, CO 80401-5815
Phone (720) 443-1278
National Provider Directory
National Provider DirectoryLocations
800 Washington Ave
Apt D
Golden, CO 80401
Phone (720) 443-1278
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Golden, CO
- NPI 1285102822
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541980800000",
"number": "1649748286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WASHINGTON AVE APT D",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015815",
"telephone_number": "720-443-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON AVE",
"address_2": "SUITE D",
"city": "GOLDEN",
"state": "CO",
"postal_code": "80401",
"telephone_number": "720-443-1278",
"fax_number": "720-368-5056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERED CHANGE: COUNSELING & EDUCATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A",
"authorized_official_last_name": "WIENECKE",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "720-443-1278",
"authorized_official_credential": "MA, LPC, LAC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.