Active NPI
Empowerment Therapeutic Counseling,LLC
- Professional Counselor
- Largo, MD
National Provider Identifier
1710455787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- EMPOWERMENT THERAPEUTIC COUNSELING,LLC
- Practice address
- 1401 Mercantile LN Ste 200L
Largo, MD 20774-4311 - Phone
- (703) 638-4913
- NPI assigned
- Nov 8, 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
- Robin Ibronke Parks, LCPC-S
- Title
- Owner/Provider
- Phone
- (703) 638-4913
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1401 Mercantile LN Ste 200L
Largo, MD 20774-4311
Mailing address
6904 Andersons Way Apt 203
Laurel, MD 20707-6964
Phone (703) 638-4913
National Provider Directory
National Provider DirectoryLocations
1401 Mercantile Ln
Ste 200L
Upper Marlboro, MD 20774
Phone (202) 558-6467
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Bowie, MD
- NPI 1578944682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541635200000",
"number": "1710455787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6904 ANDERSONS WAY APT 203",
"city": "LAUREL",
"state": "MD",
"postal_code": "207076964",
"telephone_number": "703-638-4913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MERCANTILE LN STE 200L",
"city": "LARGO",
"state": "MD",
"postal_code": "207744311",
"telephone_number": "703-638-4913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERMENT THERAPEUTIC COUNSELING,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-08",
"last_updated": "2018-11-08",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "IBRONKE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "703-638-4913",
"authorized_official_credential": "LCPC-S"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.