Active NPI
Empowering Road, LLC
- Mental Health Counselor
- Providence, RI
National Provider Identifier
1720850365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EMPOWERING ROAD, LLC
- Doing business as
- Empowering Road, LLC
- Practice address
- 10 Davol SQ Ste 100
Providence, RI 02903-4752 - Phone
- (401) 400-2403
- NPI assigned
- Oct 26, 2023
- Last updated
- Oct 26, 2023
- 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
- Ms. Sabrina D Mazzilli, LICSW
- Title
- Mental Health Clinician
- Phone
- (401) 400-2403
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10 Davol SQ Ste 100
Providence, RI 02903-4752
Mailing address
PO Box 100252
Cranston, RI 02910-0064
Phone (401) 400-2403
Other names 1
- Empowering Road, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1698278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698278400000",
"number": "1720850365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100252",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029100064",
"telephone_number": "401-400-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 DAVOL SQ STE 100",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034752",
"telephone_number": "401-400-2403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERING ROAD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-26",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A",
"authorized_official_last_name": "MAZZILLI",
"authorized_official_first_name": "SABRINA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
"authorized_official_telephone_number": "401-400-2403",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Empowering Road, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.