Evolo PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVOLO PLLC

Practice address

416 S Main St Ste 102
Hailey, ID 83333-8422

Phone

(208) 727-7360

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn E Cannell, LPCNPI 1255098414

Title

Owner/Founder

Phone

(208) 727-7360

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Kathryn Cannell, LPC

  • Mental Health Counselor
  • Sun Valley, ID
  • NPI 1255098414
  NPD Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1043075302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 CRANBROOK RD",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338817",
            "telephone_number": "208-727-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S MAIN ST STE 102",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338422",
            "telephone_number": "208-727-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "CANNELL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "208-727-7360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Robert Doxey
• Amy C Drumm, MD
• Amber R Dunford, DC
• Heidi Doreen Eliason, RPH
• Melissa Scott Elkins, LPC
• Eyecenter PA
• Ronald Edward Fairfax, D.D.S.
• Kacey Shizuka Fairfield, MPT
• Family Practice Associates PA Mid Level
• Family Practice Associates, PA

• Mental Health Counselor in Hailey, ID
• Providers in Hailey, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.