Active NPI
Empowering Others to Empower Themselves
- Mental Health Counselor
- Chester, VA
National Provider Identifier
1740762467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EMPOWERING OTHERS TO EMPOWER THEMSELVES
- Practice address
- 4600 Ecoff Ave
Chester, VA 23831-1712 - Phone
- (646) 610-0015
- NPI assigned
- Aug 29, 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
- Kiara Jaye
- Title
- Owner
- Phone
- (646) 610-0015
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
4600 Ecoff Ave
Chester, VA 23831-1712
Mailing address
4600 Ecoff Ave
Chester, VA 23831-1712
Other practice location 1
6026 Oak Bluff Ter
Chester, VA 23831-4237
Phone (646) 610-0015
National Provider Directory
National Provider DirectoryLocations
4600 Ecoff Ave
Chester, VA 23831
Phone (646) 610-0015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559692800000",
"number": "1740762467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 ECOFF AVE",
"city": "CHESTER",
"state": "VA",
"postal_code": "238311712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 ECOFF AVE",
"city": "CHESTER",
"state": "VA",
"postal_code": "238311712",
"telephone_number": "646-610-0015"
}
],
"practiceLocations": [
{
"address_1": "6026 Oak Bluff Ter",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "VA",
"postal_code": "238314237",
"country_code": "US",
"telephone_number": "646-610-0015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EMPOWERING OTHERS TO EMPOWER THEMSELVES",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-29",
"last_updated": "2019-06-05",
"status": "A",
"authorized_official_last_name": "JAYE",
"authorized_official_first_name": "KIARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-610-0015"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.