Empowering Pathways LCSW PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMPOWERING PATHWAYS LCSW PLLC

Practice address

40 Surrey LN
Rockville Centre, NY 11570-1856

Phone

(917) 755-2425

NPI assigned

Jan 4, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Rafael Eric Bou, LCSWNPI 1730354085

Title

Owner

Phone

(917) 755-2425

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael Eric Bou, LCSW

  • Community/Behavioral Health Agency
  • Westbury, NY
  • NPI 1730354085
  NPD Authorized official

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1679343206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SURREY LN",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701856",
            "telephone_number": "917-755-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SURREY LN",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701856",
            "telephone_number": "917-755-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING PATHWAYS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "BOU",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-755-2425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.