NPIMap

Organization Active NPI

Evolution Counseling and Yoga LLC

Doing business as Jessica L Farley

  • Professional Counselor
  • Medina, OH
National Provider Identifier
1093361305
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EVOLUTION COUNSELING AND YOGA LLC
Doing business as
Jessica L Farley
Practice address
799 N Court St Ste 11
Medina, OH 44256-1766
Phone
(419) 575-1978
Fax
(419) 710-6334
NPI assigned
Aug 13, 2019
Last updated
Aug 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Jessica Lynn Farley, LPCCNPI 1477941540
Title
Owner/Clinician
Phone
(419) 575-1978

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

799 N Court St Ste 11
Medina, OH 44256-1766

Mailing address

799 N Court St Ste 11
Medina, OH 44256-1766
Phone (419) 575-1978

Other names 1

  • Jessica L Farley Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jessi@EvolutionCounselingandYoga.com

National Provider Directory

National Provider Directory

Locations

799 N Court St
Ste 11
Medina, OH 44256
Phone (330) 636-6561

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1093361305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 N COURT ST STE 11",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561766",
            "telephone_number": "419-575-1978",
            "fax_number": "419-710-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 N COURT ST STE 11",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561766",
            "telephone_number": "419-575-1978",
            "fax_number": "419-710-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION COUNSELING AND YOGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "419-575-1978",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jessi@EvolutionCounselingandYoga.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "799 N Court St Ste 11",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442561766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jessica L Farley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.