Evolve Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

76503 Issued in TX

Legal business name

EVOLVE THERAPY PLLC

Practice address

1103 Cherico St
Austin, TX 78702-3705

Phone

(214) 797-8888

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Grace Secker, LPCNPI 1578052452

Title

Member

Phone

(214) 797-8888

Specialties & licenses 2

Addresses

Practitioners 1

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

• Grace Secker, LPC

  • Professional Counselor
  • Austin, TX
  • NPI 1578052452
  NPD Authorized official

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1033609003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CHERICO ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023705",
            "telephone_number": "214-797-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CHERICO ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023705",
            "telephone_number": "214-797-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "SECKER",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-797-8888",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76503",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evoked Potentials, LLC
• Josefine Lampasona Evola, MS, RD
• Evolution Counseling and Wellness Services
• Evolution Wellness
• Evolve Counseling, Consulting, and Coaching PLLC
• Jared Matthew Ewald
• Alison Reiland Ewen, M.D.
• Cambria Ewing, PT, DPT
• Christopher Anthony Ewing, MD
• Lindsey Ewing

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.