Organization Active NPI

Evans' Counseling and Psycho-Educational Firm, Inc

  • Professional Counselor
  • Texarkana, AR
National Provider Identifier
1134801137
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EVANS' COUNSELING AND PSYCHO-EDUCATIONAL FIRM, INC
Practice address
216 Olive St Ste 210
Texarkana, AR 71854-5932
Phone
(903) 556-9416
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Mrs. Crystal Evans, LPCNPI 1609336619
Title
Owner/Authorized Official
Phone
(903) 556-9416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

216 Olive St Ste 210
Texarkana, AR 71854-5932

Mailing address

1156 Little River 11
Ashdown, AR 71822-8985
Phone (903) 556-9416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905004759 AR Part B Supplier - Clinic/Group Practice 4284174186 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, AR; Texarkana, AR

National Provider Directory

National Provider Directory

Locations

256 Highway 27 S
Nashville, AR 71852
Phone (903) 556-9416

216 Olive St
Ste 210
Texarkana, AR 71854
Phone (903) 556-9416

216 Olive St
Texarkana, AR 71854
Phone (903) 708-5761

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1134801137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 LITTLE RIVER 11",
            "city": "ASHDOWN",
            "state": "AR",
            "postal_code": "718228985",
            "telephone_number": "903-556-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 OLIVE ST STE 210",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545932",
            "telephone_number": "903-556-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS' COUNSELING AND PSYCHO-EDUCATIONAL FIRM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "903-556-9416",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.