Organization Active NPI

Evans Family Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hot Springs, AR
National Provider Identifier
1083103105
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
7186-C Issued in AR
Legal business name
EVANS FAMILY COUNSELING
Practice address
1401 Malvern Ave Ste 152
Hot Springs, AR 71901-6370
Phone
(501) 701-0088
Fax
(888) 313-1371
NPI assigned
May 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Michael Lynn Evans, LCSWNPI 1770835068
Title
Member
Phone
(501) 282-4547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 7186-C AR Primary

Addresses

Primary practice location

1401 Malvern Ave Ste 152
Hot Springs, AR 71901-6370

Mailing address

270 Pioneer LN
Hot Springs, AR 71901-8826
Phone (501) 282-4547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180518000520 AR Part B Supplier - Clinic/Group Practice 3072878248 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory

Locations

1401 Malvern Ave
Ste 50
Hot Springs, AR 71901
Phone (501) 701-0088

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1083103105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PIONEER LN",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018826",
            "telephone_number": "501-282-4547",
            "fax_number": "888-313-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MALVERN AVE STE 152",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016370",
            "telephone_number": "501-701-0088",
            "fax_number": "888-313-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "501-282-4547",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": "7186-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.