Active NPI
Randy Lee Evans, MA
- Social Worker
- Jonesville, MI
National Provider Identifier
1023232774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802083729
- Practice address
- 6360 Brown Rd
Jonesville, MI 49250-9719 - Phone
- (517) 287-5176
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401010043 | MI | |
| Social Worker | 104100000X | 6802083729 | MI | Primary |
Addresses
Primary practice location
6360 Brown Rd
Jonesville, MI 49250-9719
Mailing address
6360 Brown Rd
Jonesville, MI 49250-9719
Phone (517) 287-5176
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 |
|---|---|---|---|
| 6401010043 | MI | MD | Professional Counselor |
| 6802083729 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1023232774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 BROWN RD",
"city": "JONESVILLE",
"state": "MI",
"postal_code": "492509719",
"telephone_number": "517-287-5176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 BROWN RD",
"city": "JONESVILLE",
"state": "MI",
"postal_code": "492509719",
"telephone_number": "517-287-5176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "RANDY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401010043",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802083729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.