Active NPI
Richard J Evans V, MA
- Mental Health Counselor
- Bellingham, WA
National Provider Identifier
1003096983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 600 Lakeway Dr
Bellingham, WA 98225-5236 - Phone
- (360) 676-6749
- NPI assigned
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC000512 | WA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
600 Lakeway Dr
Bellingham, WA 98225-5236
Mailing address
4810 Whitney St
Bellingham, WA 98229-2638
Phone (602) 881-2188
Other practice location 1
3322 Broadway
4th floor
Everett, WA 98201-4425
Phone (425) 349-7203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC000512 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health | Past | Accepting new patients | |
| Northwest Regional Council | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Everett, WA
- NPI 1730136201
-
- Community/Behavioral Health Agency
- Bellingham, WA
- NPI 1093284374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1003096983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 WHITNEY ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982292638",
"telephone_number": "602-881-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LAKEWAY DR",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255236",
"telephone_number": "360-676-6749"
}
],
"practiceLocations": [
{
"address_1": "3322 Broadway",
"address_2": "4th floor",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982014425",
"country_code": "US",
"telephone_number": "425-349-7203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "V",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-08",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC000512",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.