Amelia L Evans, M.S., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4061-125 Issued in WI

Practice address

2910 Enloe St
Suite 104
Hudson, WI 54016-4538

Phone

(715) 377-0000

Fax

(715) 377-0010

NPI assigned

Jun 5, 2008

Sex

Female

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

• Amy L Evans Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Randi L. Erickson

  • Psychologist
  • Hudson, WI
  • NPI 1376659201
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229731200000",
    "number": "1124287032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 ENLOE ST",
            "address_2": "SUITE 104",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540164538",
            "telephone_number": "715-377-0000",
            "fax_number": "715-377-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 ENLOE ST",
            "address_2": "SUITE 104",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540164538",
            "telephone_number": "715-377-0000",
            "fax_number": "715-377-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "AMELIA",
        "middle_name": "L",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4061-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "EVANS",
            "middle_name": "L",
            "credential": "M.S., LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jon H. Engelking, M.D.
• Sarah Engen, DCM, BCTMB
• Breanna M Erickson, LPCC
• Lynn Marie Erickson, RN, NP
• Randi L Erickson, PSY D LP
• Everyday Therapy Solutions, Inc
• Kate Suzanne Fairchild, OTD, OTR/L
• Fairview Express Care
• Fairview Express Care
• Family Pathways Incorporated

• Professional Counselor in Hudson, WI
• Providers in Hudson, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2008; 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.