Empowering Youth Inc

Primary specialty

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

Legal business name

EMPOWERING YOUTH INC

Practice address

530 NW 183Rd St
Miami Gardens, FL 33169-4468

Phone

(305) 654-7251

Fax

(305) 647-0203

NPI assigned

Jul 7, 2017

Last updated

Mar 8, 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

Amanda Wanza, LMHC

Title

Provider/President

Phone

(305) 654-7251

Specialties & licenses 1

Addresses

Tax ID family

Empowering Youth Inc2 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.

• Empowering Youth Inc

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1962273326
  NPD tax ID

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.

• Andrea Wanza, LMHC

  • Mental Health Counselor
  • Miami Gardens, FL
  • NPI 1942722301
  NPD
• Amanda Nicole Mascia

  • Mental Health Counselor
  • Miami, FL
  • NPI 1659135234
  NPD (past)
• Ana Claudia Salame Pena

  • Mental Health Counselor
  • Miami, FL
  • NPI 1225816895
  NPD (past)

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1750803144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 IVES DAIRY RD STE 228",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331792538",
            "telephone_number": "305-654-7251",
            "fax_number": "305-647-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694468",
            "telephone_number": "305-654-7251",
            "fax_number": "305-647-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 NW 8th Ave Ste C13",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326013832",
            "country_code": "US",
            "telephone_number": "305-654-7251",
            "fax_number": "305-647-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWERING YOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "WANZA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PROVIDER/PRESIDENT",
        "authorized_official_telephone_number": "305-654-7251",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.