Empowered for Excellence, Empowering Youth, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMPOWERED FOR EXCELLENCE, EMPOWERING YOUTH, LLC

Practice address

3170 W Central Ave Ste G
Toledo, OH 43606-2945

Phone

(310) 981-3332

NPI assigned

Jul 7, 2021

Last updated

Jul 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan James

Title

Chief Executive Officer

Phone

(310) 981-3332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Empowered for Excellence Empowering Youth LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Empowered for Excellence, Empowering Youth, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
  • NPI 1407520497
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Empowered for Excellence, Empowering Youth, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
  • NPI 1407520497
  NPPES parent name

Practitioners 3

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.

• Sara Heatwole Bojorquez, LPCC-S

  • Mental Health Counselor
  • Archbold, OH
  • NPI 1790077451
  Medicare reassignment NPD
• Lilia Barrera, QMHS

  • Case Manager/Care Coordinator
  • Toledo, OH
  • NPI 1376322891
  NPD
• Thelonious Lorenza Heath, LISW-S

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1215179544
  NPD (past)

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1700457181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 W CENTRAL AVE STE G",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062945",
            "telephone_number": "419-770-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 W CENTRAL AVE STE G",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436062945",
            "telephone_number": "310-981-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED FOR EXCELLENCE, EMPOWERING YOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-981-3332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowered for Excellence Behavioral Health Ohio
• Empowered for Excellence Behavioral Health Ohio
• Empowered for Excellence Behavioral Health Ohio
• Empowered for Excellence Behavioral Health Ohio
• Empowered for Excellence, Empowering Youth, LLC
• Empowered Insight Counseling and Consulting LLC
• Empowering Connections CDC
• Empowerment Zone for Resilience and Achievements
• Empress 2 Inspire , LLC
• Alexa Encheff

• Community/Behavioral Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.