=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578455861
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMPOWER HOLDINGS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/19/2025
-----------------------------------------------------
Last Update Date | 07/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 333 W HAMPDEN AVE STE 700
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80110-2337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-642-9144
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 333 W HAMPDEN AVE STE 700
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80110-2337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-642-9144
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-OWNER
-----------------------------------------------------
Name | N FREDERICKSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 720-642-9144
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------