Organization Active NPI

Empower and Evolve, LLC

  • Clinical Social Worker
  • Horizon City, TX
National Provider Identifier
1871183194
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMPOWER AND EVOLVE, LLC
Practice address
13155 Celtic
Horizon City, TX 79928-2128
Phone
(915) 873-9521
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Arlet Itzel Olivares, LCSWNPI 1295321180
Title
Owner
Phone
(915) 873-9521

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

13155 Celtic
Horizon City, TX 79928-2128

Mailing address

13155 Celtic
Horizon City, TX 79928-2128
Phone (915) 873-9521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210528000015 TX Part B Supplier - Clinic/Group Practice 5991104168 Receives reassigned benefits from 1 practitioner
Practice locations: Horizon City, TX; Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1871183194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13155 CELTIC",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799282128",
            "telephone_number": "915-873-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 CELTIC",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799282128",
            "telephone_number": "915-873-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER AND EVOLVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "ARLET",
        "authorized_official_middle_name": "ITZEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-873-9521",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horizon City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.