Individual provider Active NPI

Nicholas J Evans, LMHC, SUDP

  • Mental Health Counselor
  • Ferndale, WA
National Provider Identifier
1053988022
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH70047714 Issued in WA
Practice address
1855 Main St Ste 207
Ferndale, WA 98248-9060
Phone
(360) 230-8528
NPI assigned
Jun 8, 2021
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP61269485 WA
Mental Health Counselor 101YM0800X LH70047714 WA Primary

Addresses

Primary practice location

1855 Main St Ste 207
Ferndale, WA 98248-9060

Mailing address

1855 Main St Ste B207
Ferndale, WA 98248-9062
Phone (360) 230-8528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121003931 WA Practitioner - Mental Health Counselor 0840777231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1855 Main St
Suite 207
Ferndale, WA 98248-9060
Phone (206) 755-2001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP61269485WAMDAddiction (Substance Use Disorder) Counselor
LH70047714WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True North Therapy Group PLLC Mental Health CurrentSince Dec 17, 2025 Accepting new patients

Locations

1855 Main St
Ste 207
Ferndale, WA 98248
Phone (206) 755-2001

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1053988022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 MAIN ST STE B207",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489062",
            "telephone_number": "360-230-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 MAIN ST STE 207",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489060",
            "telephone_number": "360-230-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "LMHC, SUDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61269485",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH70047714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, WA

Sources for this page

Verify at the official NPI Registry.