NPIMap

Organization Active NPI

Empowered Alliance Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Batavia, IL
National Provider Identifier
1972860203
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
40723917 Issued in IL
Legal business name
EMPOWERED ALLIANCE THERAPY
Practice address
143 First St
Suite 202
Batavia, IL 60510-3101
Phone
(312) 857-8282
Fax
(630) 897-8002
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Starlene M Kelley, LCSW, CADC
Title
Ceo
Phone
(312) 857-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 40723917 IL Primary

Addresses

Primary practice location

143 First St
Suite 202
Batavia, IL 60510-3101

Mailing address

143 First St
Suite 202
Batavia, IL 60510-3101
Phone (312) 857-8282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1972860203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 FIRST ST",
            "address_2": "SUITE 202",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605103101",
            "telephone_number": "312-857-8282",
            "fax_number": "630-897-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 FIRST ST",
            "address_2": "SUITE 202",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605103101",
            "telephone_number": "312-857-8282",
            "fax_number": "630-897-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED ALLIANCE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "STARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-857-8282",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "40723917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.