Kimberly Evans

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4555 Issued in LA

Practice address

2404 Ferrand St
Suite 23
Monroe, LA 71201-3234

Phone

(318) 323-0463

Fax

(318) 323-0465

NPI assigned

Oct 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Footsteps Counseling Services, LLC

  • Mental Health Counselor
  • Monroe, LA
  • NPI 1861143141
  NPD Authorized official
• Immanuels Healing Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1043472608
  NPD (past)

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1104297845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 FERRAND ST",
            "address_2": "SUITE 23",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013234",
            "telephone_number": "318-323-0463",
            "fax_number": "318-323-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 FERRAND ST",
            "address_2": "SUITE 23",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013234",
            "telephone_number": "318-323-0463",
            "fax_number": "318-323-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Jackson Etienne, LMSW
• Eureka Investments
• April Evans
• Donna Ross Evans, MS, RDN
• Glenda Evans
• Kozette Evans
• Nakesha Evans
• Sierra C Evans
• Jane Everist, M.D.
• Everside Health LLC Lexicon la Clinic

• Professional Counselor in Monroe, LA
• Providers in Monroe, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.