EMPOWERED MIND & BODY PLLC
NPI 1871264051
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since September 27, 2021
2858 W DIVERSEY AVE STE 1, CHICAGO, IL 60647(872) 208-8833 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2026, Dec 11, 2025, Dec 1, 2025 and 1 more (4 updates tracked since 2021).

About Empowered Mind & Body Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMPOWERED MIND & BODY PLLC (NPI 1871264051), doing business as Empowered Mind & Body Llc, is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since September 2021. The organization lists Jenna Bauer, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1871264051
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEMPOWERED MIND & BODY PLLC
Location Address2858 W DIVERSEY AVE STE 1Chicago, IL 60647-1871
Mailing Address901 Stonegate DrHighland Park, IL 60035-5146 · (872) 208-8833
Organization SubpartNo
Authorized OfficialJenna BauerLicensed Clinical Psychologist · (872) 208-8833
Enumeration DateSeptember 27, 2021
Last NPPES UpdateJanuary 30, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
NPI 1871264051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2858 W DIVERSEY AVE STE 1, Chicago, IL 60647

Other Names 1

Former Legal Business NameEmpowered Mind & Body Llc

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2858 W DIVERSEY AVE STE 1
CHICAGO, IL 60647
Psychologist (Clinical)
2858 W DIVERSEY AVE STE 1
CHICAGO, IL 60647
Social Worker (Clinical)
2858 W DIVERSEY AVE STE 1
CHICAGO, IL 60647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Empowered Mind & Body PLLC's NPI number?

The NPI number for Empowered Mind & Body PLLC is 1871264051. It was assigned to this organization in the NPPES registry on September 27, 2021. The provider was formerly known as Empowered Mind & Body LLC.

Where is Empowered Mind & Body PLLC located?

Empowered Mind & Body PLLC is located at 2858 W Diversey Ave Ste 1, Chicago, IL 60647. The listed phone number is (872) 208-8833.

What is Empowered Mind & Body PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Empowered Mind & Body PLLC was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.