NPIMap

Organization Active NPI

Empower Therapeutic Support Services PLLC

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1679732887
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EMPOWER THERAPEUTIC SUPPORT SERVICES PLLC
Practice address
227 Colfax Ave N Suite 15
Minneapolis, MN 55405
Phone
(612) 223-0373
Fax
(612) 781-2428
NPI assigned
Jun 3, 2008
Last updated
Apr 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Cedric Weatherspoon, LMFT
Title
President
Phone
(612) 233-0373

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

227 Colfax Ave N Suite 15
Minneapolis, MN 55405

Mailing address

227 Colfax Ave N Suite 15
Minneapolis, MN 55405
Phone (612) 223-0373

Other identifiers 1

IdentifierTypeStateIssuer
1679732887MedicaidMN

National Provider Directory

National Provider Directory

Locations

227 Colfax Ave N
Ste 15
Minneapolis, MN 55405
Phone (612) 223-0373

Practitioners & affiliated clinicians

Practitioners 4

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": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1679732887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 COLFAX AVE N SUITE 15",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55405",
            "telephone_number": "612-223-0373",
            "fax_number": "612-223-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 COLFAX AVE N SUITE 15",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55405",
            "telephone_number": "612-223-0373",
            "fax_number": "612-781-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER THERAPEUTIC SUPPORT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "WEATHERSPOON",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-233-0373",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679732887",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.