Active NPI
Empowered Mindscape LLC
- Community/Behavioral Health Agency
- Manchester, CT
National Provider Identifier
1972303170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanya C. Wayne
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Marriage & Family Therapist
- Bristol, CT
- NPI 1316612732
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.