Charlottesville Empowerment: Counseling and Wellness Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CHARLOTTESVILLE EMPOWERMENT: COUNSELING AND WELLNESS SERVICES

Practice address

801 W Main St Ste 206
Charlottesville, VA 22903-4582

Phone

(434) 270-0892

NPI assigned

Feb 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Latasha Nadasdi, PSY.DNPI 1013434497

Title

Owner/Chief Psychologist

Phone

(434) 270-0892

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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.

• Latasha Leigh Nadasdi, PSY.D.

  • Clinical Psychologist
  • Charlottesville, VA
  • NPI 1013434497
  Medicare reassignment NPD Authorized official
• Lindsay Ann Detlie, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1982169488
  NPD (past)

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730592000000",
    "number": "1891251682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST STE 206",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034582",
            "telephone_number": "434-270-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST STE 206",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034582",
            "telephone_number": "434-270-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE EMPOWERMENT: COUNSELING AND WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-16",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "NADASDI",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "OWNER/CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "434-270-0892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013434497",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Charlottesville Eye Associates LTD
• Charlottesville Family Medicine, PC

• Clinical Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.