Organization Active NPI

Empowered Mindscape LLC

  • Community/Behavioral Health Agency
  • Manchester, CT
National Provider Identifier
1972303170
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMPOWERED MINDSCAPE LLC
Practice address
543 N Main St Ste F
Manchester, CT 06042-1935
Phone
(607) 857-0143
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Tanya C. WayneNPI 1316612732
Title
Marriage and Family Therapist
Phone
(607) 857-0143

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

543 N Main St Ste F
Manchester, CT 06042-1935

Mailing address

516 Hills St
East Hartford, CT 06118-3028
Phone (607) 857-0143

National Provider Directory

National Provider Directory

Locations

543 N Main St
Ste F
Manchester, CT 06042
Phone (607) 857-0143

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1972303170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 HILLS ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061183028",
            "telephone_number": "607-857-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N MAIN ST STE F",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421935",
            "telephone_number": "607-857-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED MINDSCAPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "607-857-0143"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.