Organization Active NPI

Empowered Life Counseling, Inc

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1992189070
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 10889 Issued in FL
Legal business name
EMPOWERED LIFE COUNSELING, INC
Practice address
1200 Riverplace Blvd, 1571
Suite 105
Jacksonville, FL 32207-9092
Phone
(954) 492-7553
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Dr. Remy Nelson, PHDNPI 1669851309
Title
President & Ceo
Phone
(954) 492-7553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH 10889 FL Primary

Addresses

Primary practice location

1200 Riverplace Blvd, 1571
Suite 105
Jacksonville, FL 32207-9092

Mailing address

1200 Riverplace Blvd, 1571
Suite 105
Jacksonville, FL 32207-9092
Phone (954) 492-7553

Other identifiers 2

IdentifierTypeStateIssuer
MH 10889OtherFLLICENSE NUMBER
011310-01OtherNYLICENSED MENTAL HEALTH COUNSELOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1992189070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RIVERPLACE BLVD, 1571",
            "address_2": "SUITE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079092",
            "telephone_number": "954-492-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIVERPLACE BLVD, 1571",
            "address_2": "SUITE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079092",
            "telephone_number": "954-492-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED LIFE COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "REMY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "954-492-7553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MH 10889",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "011310-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.