Empower CBT Counseling LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMPOWER CBT COUNSELING LLC

Practice address

743 Stuyvesant Ave
Irvington, NJ 07111-1816

Phone

(973) 558-9107

NPI assigned

Dec 7, 2024

Organization subpart

No

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

Authorized official

Name

Raywatie GocoolNPI 1588159511

Title

Apn

Phone

(973) 558-9107

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Raywatie S. Gocool, MSW

  • Social Worker
  • Irvington, NJ
  • NPI 1588159511
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733529600000",
    "number": "1891501532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 DARTMOUTH TER",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835506",
            "telephone_number": "973-558-9107",
            "fax_number": "973-547-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 STUYVESANT AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111816",
            "telephone_number": "973-558-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER CBT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "GOCOOL",
        "authorized_official_first_name": "RAYWATIE",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "973-558-9107"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.