Active NPI
Jeffrey B Evans, LPC
- Professional Counselor
- Greeley, CO
National Provider Identifier
1013255561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-11303
- Practice address
- 1260 H St
Greeley, CO 80631-9115 - Phone
- (970) 351-6678
- Fax
- (970) 346-9800
- NPI assigned
- Jan 17, 2013
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACB-7483 | CO | |
| Professional Counselor | 101YP2500X | LPC-11303 | CO | Primary |
Addresses
Primary practice location
1260 H St
Greeley, CO 80631-9115
Mailing address
1300 N 17TH Ave
Greeley, CO 80631-9584
Phone (970) 347-2120
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACB-7483 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC-11303 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1013255561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 17TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806319584",
"telephone_number": "970-347-2120",
"fax_number": "970-346-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 H ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806319115",
"telephone_number": "970-351-6678",
"fax_number": "970-346-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JEFFREY",
"middle_name": "B",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-17",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACB-7483",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC-11303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.