Active NPI
Empower Psychiatric Health and Wellness PLCC
- Psychiatric/Mental Health Nurse Practitioner
- Edwardsville, IL
National Provider Identifier
1780549253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EMPOWER PSYCHIATRIC HEALTH AND WELLNESS PLCC
- Practice address
- 322 S Buchanan St
Edwardsville, IL 62025-2086 - Phone
- (618) 713-5669
- NPI assigned
- Dec 17, 2025
- Last updated
- Dec 17, 2025
- 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
- Jaime Mendoza, MSFNP-BC, PMHNP-BC
- Title
- Owner
- Phone
- (618) 830-7252
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
322 S Buchanan St
Edwardsville, IL 62025-2086
Mailing address
322 S Buchanan St
Edwardsville, IL 62025-2086
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Maryville, IL
- NPI 1689915811
-
- Clinical Social Worker
- Edwardsville, IL
- NPI 1053276840
-
- Mental Health Counselor
- Edwardsville, IL
- NPI 1306764170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1780549253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 S BUCHANAN ST",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620252086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 S BUCHANAN ST",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620252086",
"telephone_number": "618-713-5669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWER PSYCHIATRIC HEALTH AND WELLNESS PLCC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-17",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "JAIME",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-830-7252",
"authorized_official_credential": "MSFNP-BC, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edwardsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.