Empowered Mind

Primary specialty

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

Legal business name

EMPOWERED MIND

Practice address

4640 S 3900 W
Roy, UT 84067-8707

Phone

(801) 896-3260

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Emilee Jackson, LCSWNPI 1073944765

Title

Owner

Phone

(801) 896-3260

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Emilee Sue Jackson

  • Social Worker
  • Salt Lake City, UT
  • NPI 1073944765
  NPD Authorized official

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1790482495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 S 3900 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840678707",
            "telephone_number": "801-963-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 S 3900 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840678707",
            "telephone_number": "801-896-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EMILEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-896-3260",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "8914131-3501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillee Ehrhart
• Emily Ellis, RN
• Kurtis Don Ellis, M.D.
• John Ellison, O.D.
• Melanie Elm, RPH
• Caren D Erekson, DNP, APRN, FNP-C
• Paige Christiana Erickson, APRN
• Neal Craig Esplin, DDS
• Elizabeth Evans
• Expanding Minds ABA LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roy, UT
• Providers in Roy, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.