Kerry-Lyn Slager Evans, LPCC-S

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.0900042 SUPV Issued in OH

Practice address

3253 N Bend Rd
Cincinnati, OH 45239-7610

Phone

(513) 662-9900

Fax

(513) 662-9902

NPI assigned

May 23, 2016

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 identifiers 1

Other names 1

• Ms. Poppy Evans Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486252800000",
    "number": "1124475959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 N BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397610",
            "telephone_number": "513-662-9900",
            "fax_number": "513-662-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 N BEND RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397610",
            "telephone_number": "513-662-9900",
            "fax_number": "513-662-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KERRY-LYN",
        "middle_name": "SLAGER",
        "name_prefix": "Ms.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2017-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0900042 SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184893",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POPPY",
            "last_name": "EVANS",
            "prefix": "MS.",
            "credential": "LPCC-S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julian Antoine Evans IV
• Julie C Evans, O.D.
• Katherine Evans
• Katrice Trenay Evans
• Kelsey Evans
• Kristin L Evans
• Latoya Dashanda Evans
• Lerrien Evans
• Linda C Evans, MD
• Lisa Ann Evans

• Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; 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.