Organization Active NPI

Cori Evans Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, SC
National Provider Identifier
1164060661
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CORI EVANS COUNSELING LLC
Practice address
110 Manly St
Greenville, SC 29601-3025
Phone
(864) 414-3619
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Cori Evans, LPC
Title
Owner
Phone
(864) 414-3619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

110 Manly St
Greenville, SC 29601-3025

Mailing address

110 Manly St
Greenville, SC 29601-3025
Phone (864) 414-3619

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Greenville Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1164060661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MANLY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013025",
            "telephone_number": "864-414-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MANLY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013025",
            "telephone_number": "864-414-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORI EVANS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-414-3619",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "endpointDescription": "Greenville",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Greenville",
            "address_1": "110 Manly St",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296013025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.