Organization Active NPI

Empowerment Counseling Center

  • Mental Health Counselor
  • Olympia Fields, IL
National Provider Identifier
1831896935
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMPOWERMENT COUNSELING CENTER
Practice address
19900 Governors Dr Ste 201
Olympia Fields, IL 60461-1061
Phone
(815) 570-9417
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Dr. Amber Gardner, EDD
Title
Provider
Phone
(708) 805-1420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

19900 Governors Dr Ste 201
Olympia Fields, IL 60461-1061

Mailing address

19900 Governors Dr Ste 201
Olympia Fields, IL 60461-1061
Phone (815) 570-9417

National Provider Directory

National Provider Directory

Locations

19900 Governors Dr
Ste 201
Olympia Fields, IL 60461
Phone (708) 329-8871

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1831896935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 201",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611061",
            "telephone_number": "815-570-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 201",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611061",
            "telephone_number": "815-570-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERMENT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "708-805-1420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.