NPIMap

Organization Active NPI

Empowered Soul Psychological Services LLC

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1649951948
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
EMPOWERED SOUL PSYCHOLOGICAL SERVICES LLC
Practice address
8101 O St Ste 300
Lincoln, NE 68510-2647
Phone
(402) 261-3714
NPI assigned
Jul 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Falesa Ivory, LPNPI 1912272634
Title
Owner
Phone
(402) 261-3714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

8101 O St Ste 300
Lincoln, NE 68510-2647

Mailing address

8101 O St Ste 300
Lincoln, NE 68510-2647
Phone (402) 261-3714

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1649951948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 O ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102647",
            "telephone_number": "402-261-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 O ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102647",
            "telephone_number": "402-261-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED SOUL PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "IVORY",
        "authorized_official_first_name": "FALESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-261-3714",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.