Evolve Youth & Family Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EVOLVE YOUTH & FAMILY COUNSELING LLC

Practice address

505 N Riverside Dr Ste 201
Gurnee, IL 60031-5922

Phone

(708) 603-9499

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Yahaira Torres, LCSWNPI 1215282504

Title

Owner

Phone

(708) 603-9499

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Yahaira N Torres, LCSW

  • Clinical Social Worker
  • Gurnee, IL
  • NPI 1215282504

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1114557667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N RIVERSIDE DR STE 201",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N RIVERSIDE DR STE 201",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315922",
            "telephone_number": "708-603-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE YOUTH & FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "YAHAIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-603-9499",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215282504",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ytorres@evolveyouthfamilycounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "505 N Riverside Dr Ste 201",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600315922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.