Albert James Evans, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0001141-SUPV Issued in OH

Practice address

8261 Market St
Boardman, OH 44512-6254

Phone

(330) 286-0050

Fax

(330) 286-0055

NPI assigned

Oct 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• A. James Evans Other name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 1984

Medicare assignment

May accept Medicare assignment

Group practices

Travco Behavioral Health, Inc.Group PAC ID 3476623026, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Travco Behavioral Health, Inc.

  • Mental Health Counselor
  • Boardman, OH
  • NPI 1124086616
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1124271093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 KOEHLER DR",
            "city": "SHARPSVILLE",
            "state": "PA",
            "postal_code": "161501842",
            "telephone_number": "330-885-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126254",
            "telephone_number": "330-286-0050",
            "fax_number": "330-286-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ALBERT",
        "middle_name": "JAMES",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-23",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0001141-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A. JAMES",
            "last_name": "EVANS",
            "credential": "LPCC-S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Allan Esarco II, D.C.
• John Allan Esarco, D.C.
• Rebecca Eskay
• Isabel J. Espinoza
• Stephen John Evan, M.D.
• Kelli Lynn Evans, RN
• Kennedy Evans
• Michelle L Evans, CNP
• Eyecare for the Valley LLC
• Tiffany Marie Fabian, CNM

• Professional Counselor in Boardman, OH
• Providers in Boardman, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.