Active NPI
Evolve Therapy LLC
- Mental Health Counselor
- Cockeysville, MD
National Provider Identifier
1164080297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EVOLVE THERAPY LLC
- Practice address
- 201 International Cir Ste 230
Cockeysville, MD 21030-1344 - Phone
- (443) 681-9133
- NPI assigned
- Jun 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsay Harvey, LCPC
- Title
- Owner
- Phone
- (443) 827-0454
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
201 International Cir Ste 230
Cockeysville, MD 21030-1344
Mailing address
2120 Heritage Dr
Baltimore, MD 21209-1737
Phone (443) 827-0454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437647930 | Medicaid | MD |
Other names 1
- Lindsay Harvey LCPC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1437647930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559606400000",
"number": "1164080297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 HERITAGE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212091737",
"telephone_number": "443-827-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 INTERNATIONAL CIR STE 230",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210301344",
"telephone_number": "443-681-9133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "LINDSAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-827-0454",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437647930",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lindsay Harvey LCPC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cockeysville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.