OrganizationActive
Empowered Mind & Body PLLC
NPI 1871264051 · Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
Provider details
- NPI number
- 1871264051
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jenna Bauer, Licensed Clinical Psychologist(872) 208-8833
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2858 W Diversey Ave Ste 1
Chicago, IL 60647-1871
Phone: (872) 208-8833
Street-level locationGet directions
Mailing address
901 Stonegate Dr
Highland Park, IL 60035-5146
Other names (DBA / former)
- Former legal business name
- Empowered Mind & Body LLC
Registry dates
- Enumerated
- 2021-09-27
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.