Organization Active NPI

Evolve Mental Health & Wellness Solutions

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1164187696
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EVOLVE MENTAL HEALTH & WELLNESS SOLUTIONS
Practice address
63220 Silvis Rd
Bend, OR 97701-9743
Phone
(541) 280-4100
NPI assigned
Oct 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Dr. Deanna Mozo, PHD
Title
Provider/Owner
Phone
(907) 947-5514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

63220 Silvis Rd
Bend, OR 97701-9743

Mailing address

17155 Avocet Dr
Bend, OR 97707-2399
Phone (907) 947-5514

National Provider Directory

National Provider Directory

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": "1635638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1164187696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17155 AVOCET DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977072399",
            "telephone_number": "907-947-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63220 SILVIS RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019743",
            "telephone_number": "541-280-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE MENTAL HEALTH & WELLNESS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-31",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "MOZO",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "907-947-5514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.