Active NPI
Ethan William Evers, BS
- Counselor
- Charleston, WV
National Provider Identifier
1023707080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1303 Washington St W
Charleston, WV 25302-1333 - Phone
- (681) 205-8646
- NPI assigned
- May 4, 2023
- Last updated
- May 4, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
1303 Washington St W
Charleston, WV 25302-1333
Mailing address
110 White St Apt J
Charleston, WV 25302-4951
Phone (304) 932-2820
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1023707080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WHITE ST APT J",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253024951",
"telephone_number": "304-932-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 WASHINGTON ST W",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253021333",
"telephone_number": "681-205-8646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERS",
"first_name": "ETHAN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.