Individual provider Active NPI

Evan Lance Styron I

  • Mental Health Counselor
  • Yonkers, NY
National Provider Identifier
1033829908
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P114605 Issued in NY
Practice address
55 Main St FL 3
Yonkers, NY 10701-2739
Phone
(914) 327-5588
NPI assigned
Dec 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P114605 NY Primary

Addresses

Primary practice location

55 Main St FL 3
Yonkers, NY 10701-2739

Mailing address

55 Main St FL 3
Yonkers, NY 10701-2739
Phone (914) 327-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1042 Franklin Ave
Garden City, NY 11530-2908
Phone (516) 996-7089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P114605NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christine S Romano Mental Health Counseling PLLC Mental Health CurrentSince Dec 6, 2022 Accepting new patients
Next Level Mental Health Counseling PLLC Mental Health CurrentSince Dec 6, 2022 Accepting new patients
True to You Mental Health Counseling PLLC Mental Health CurrentSince Jul 1, 2026 Accepting new patients

Locations

1042 Franklin Ave
Ste 115
Garden City, NY 11530

55 Main St
Fl 3
Yonkers, NY 10701
Phone (914) 327-5585

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1033829908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAIN ST FL 3",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012739",
            "telephone_number": "914-327-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAIN ST FL 3",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012739",
            "telephone_number": "914-327-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYRON",
        "first_name": "EVAN",
        "middle_name": "LANCE",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P114605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.