NPIMap

Organization Active NPI

Evolution Services, Inc.

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1124308846
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SWP LCPC LIC 1393 Issued in MT
Legal business name
EVOLUTION SERVICES, INC.
Practice address
520 S 3Rd St W
Missoula, MT 59801-2518
Phone
(406) 240-3732
Fax
(406) 728-4009
NPI assigned
Aug 25, 2011
Last updated
Dec 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Ms. Jocelyn M Nelson, LCSWNPI 1003280637
Title
Director
Phone
(406) 240-3732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X SWP LCPC LIC 1393 MT Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SWP-LCSW-LIC-859 MT
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

520 S 3Rd St W
Missoula, MT 59801-2518

Mailing address

520 S 3Rd St W
Missoula, MT 59801-2518
Phone (406) 240-3732

National Provider Directory

National Provider Directory
Tax ID family
Evolution Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

520 S 3rd St W
Missoula, MT 59801
Phone (406) 209-8826

Practitioners & affiliated clinicians

Practitioners 1

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": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1124308846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012518",
            "telephone_number": "406-240-3732",
            "fax_number": "406-728-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012518",
            "telephone_number": "406-240-3732",
            "fax_number": "406-728-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-240-3732",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "SWP LCPC LIC 1393",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "SWP-LCSW-LIC-859",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.