Evolvwell Ecounseling & Supervision, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EVOLVWELL ECOUNSELING & SUPERVISION, PLLC

Practice address

23309 Cedar Way Apt Q201
Mountlake Terrace, WA 98043-4359

Phone

(206) 875-2160

Fax

(206) 333-0395

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Frances Wilder, MA LMHCNPI 1598972481

Title

Founder and Psychotherapist

Phone

(206) 875-2160

Specialties & licenses 1

Addresses

Practitioners 1

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

• Frances Lang Wilder, MA, LMHC

  • Professional Counselor
  • Mountlake Terrace, WA
  • NPI 1598972481
  NPD Authorized official

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1124858428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23309 CEDAR WAY APT Q201",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434359",
            "telephone_number": "206-875-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23309 CEDAR WAY APT Q201",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434359",
            "telephone_number": "206-875-2160",
            "fax_number": "206-333-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVWELL ECOUNSELING & SUPERVISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "FOUNDER AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "206-875-2160",
        "authorized_official_credential": "MA LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.