Empowering Lives Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMPOWERING LIVES COUNSELING LLC

Practice address

49 Broad St
Plainville, CT 06062-4201

Phone

(720) 530-7186

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Vavrek, LCSWNPI 1003364225

Title

Co-Owner

Phone

(720) 530-7186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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.

• Kristen Bernier Vavrek, LCSW

  • Clinical Social Worker
  • Plainville, CT
  • NPI 1003364225
  Medicare reassignment NPD Authorized official
• Gregory James Vavrek

  • Professional Counselor
  • Plainville, CT
  • NPI 1699036954
  NPD (past)

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1922606847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PINNACLE RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102219",
            "telephone_number": "720-530-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BROAD ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060624201",
            "telephone_number": "720-530-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING LIVES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "VAVREK",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "720-530-7186",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasity Ellis
• Lisa Ellison, MSW
• Elizabeth Anne Ellsworth, MS, BCBA
• Terren M Emery, LMSW
• Desiree Emirzian, LCSW
• Philip Miracle Ennin Jr., APRN
• Jamie Erickson
• Amber C. Estelle
• Madeline Etter
• Kirsten Megan Evans

• Mental Health Clinic/Center (Including Community Mental Health Center) in Plainville, CT
• Providers in Plainville, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.