Organization Active NPI

Evolving Life Counseling and Psychotherapy PLLC

  • Counselor
  • Durham, NC
National Provider Identifier
1013575141
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
EVOLVING LIFE COUNSELING AND PSYCHOTHERAPY PLLC
Practice address
3500 Westgate Dr Ste 504
Durham, NC 27707-2568
Phone
(910) 212-4441
Fax
(844) 965-9504
NPI assigned
Jun 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Whitney Zaneta Gatling, MSNPI 1164844338
Title
Owner
Phone
(910) 212-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

3500 Westgate Dr Ste 504
Durham, NC 27707-2568

Mailing address

PO Box 315
Durham, NC 27702-0315
Phone (910) 212-4441

Other practice location 1

2530 Meridian Pkwy Ste 300
Durham, NC 27713-5273
Phone (910) 212-4441

Other practice location 2

3622 Morganton Rd Ste B
Fayetteville, NC 28303-4967
Phone (910) 212-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220216002592 NC Part B Supplier - Clinic/Group Practice 8921491853 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC; Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

3622 Morganton Rd
#B
Fayetteville, NC 28303
Phone (910) 212-4441

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1013575141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277020315",
            "telephone_number": "910-212-4441",
            "fax_number": "844-965-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR STE 504",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072568",
            "telephone_number": "910-212-4441",
            "fax_number": "844-965-9504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 Meridian Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277135273",
            "country_code": "US",
            "telephone_number": "910-212-4441",
            "fax_number": "844-965-9504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3622 Morganton Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283034967",
            "country_code": "US",
            "telephone_number": "910-212-4441",
            "fax_number": "844-965-9504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVING LIFE COUNSELING AND PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "GATLING",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "ZANETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-212-4441",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.