D.I.V.a. Empowerment Group

Primary specialty

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

Legal business name

D.I.V.A. EMPOWERMENT GROUP

Practice address

274 Wilshire Blvd Ste 237
Casselberry, FL 32707-5367

Phone

(407) 545-2717

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Tojauna Jackson-Forbes, LCSWNPI 1710180765

Title

Owner

Phone

(321) 263-6994

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Tojauna La'Trice Jackson-Forbes, MSW, LCSW

  • Clinical Social Worker
  • Winter Park, FL
  • NPI 1710180765
  NPD Authorized official

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1922673227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 WILSHIRE BLVD STE 237",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 WILSHIRE BLVD STE 237",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075367",
            "telephone_number": "407-545-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.I.V.A. EMPOWERMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON-FORBES",
        "authorized_official_first_name": "TOJAUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-263-6994",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@tojaunaforbes.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "274 Wilshire Blvd Ste 237",
            "city": "Casselberry",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327075367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Cottrell
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• Aracelis V Crosby, ASSOC. ET/AET
• David J Feenstra Corp
• David J. Jenkins, D.C.,P.a.
• Barbara Best Davidson, MA-ITDS
• Reshma Davidson, APRN
• Angelica Davila

• Mental Health Clinic/Center (Including Community Mental Health Center) in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.