Empire Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMPIRE WELLNESS, LLC

Practice address

12522 Elvins St
Lakewood, CA 90715-1831

Phone

(216) 307-3919

NPI assigned

Apr 10, 2025

Organization subpart

No

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

Authorized official

Name

Samantha Brown, LPCC-S, LCDCIII, NCCNPI 1912421371

Title

Owner, Therapist

Phone

(216) 307-3919

Specialties & licenses 3

Addresses

Practitioners 1

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

• Samantha Rae Brown, LPCCS, LCDC III, NCC

  • Professional Counselor
  • Buena Park, CA
  • NPI 1912421371

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1801681853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12522 ELVINS ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151831",
            "telephone_number": "216-307-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12522 ELVINS ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151831",
            "telephone_number": "216-307-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "216-307-3919",
        "authorized_official_credential": "LPCC-S, LCDCIII, NCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maranina Mary Eister
• Roy Allan O Elevazo, PMHNP-BC
• Anna Teresa Macalalad Eliseo, RN
• Devin Dejon Ellis, D.D.S
• Empire Wellness Mental Health Group
• End of Shift Management Group Inc
• Brianna Engel
• Enola Jamora Chiropractic, Inc.
• Gisselle Enriquez
• Jennifer Eo

• Mental Health Counselor in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.