Empower TCT LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMPOWER TCT LLC

Practice address

330 James Way Ste 180
Pismo Beach, CA 93449-2891

Phone

(805) 266-3231

NPI assigned

Nov 21, 2021

Organization subpart

No

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

Authorized official

Name

Larisa A Traga, LCSWNPI 1619115060

Title

Ceo

Phone

(805) 266-3231

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Larisa Traga, LCSW

  • Clinical Social Worker
  • Pismo Beach, CA
  • NPI 1619115060
  Medicare reassignment NPD Authorized official
• Tamara Jean Chaffin

  • Clinical Social Worker
  • Santa Barbara, CA
  • NPI 1386772408
  Medicare reassignment NPD
• Kimberly A Knight Ortiz

  • Clinical Social Worker
  • Escondido, CA
  • NPI 1750946364
  NPD (past)

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1720745011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 WINCHESTER WAY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934542665",
            "telephone_number": "805-266-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 JAMES WAY STE 180",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492891",
            "telephone_number": "805-266-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER TCT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A",
        "authorized_official_last_name": "TRAGA",
        "authorized_official_first_name": "LARISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-266-3231",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Q. Tran D.M.D. Inc.
• Ann Marie Donnelly, PHD
• Denise Dritsas, PSY.D.
• Erika Analise Eddy, L.AC.
• Kelli Eisemann
• Diane Richelle Engeln, AMFT
• Ever Well Health Systems, LLC
• Luke Arthur Faber, M.D.
• Family Care Network, Inc
• Traci Rachelle Fernandes, DDS, MS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.