Organization Active NPI

Evolve Addiction Recovery LLC

  • Community/Behavioral Health Agency
  • Kingston, PA
National Provider Identifier
1164289484
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EVOLVE ADDICTION RECOVERY LLC
Practice address
671 Wyoming Ave
Kingston, PA 18704-3831
Phone
(570) 288-4205
Fax
(570) 288-4889
NPI assigned
Mar 4, 2024
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Mrs. Alyssa Zelsnack, LPCNPI 1831814706
Title
Executive Director
Phone
(570) 288-4205

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Community Health Clinic/Center 261QC1500X
Recovery Care Clinic/Center 261QR0800X

Addresses

Primary practice location

671 Wyoming Ave
Kingston, PA 18704-3831

Mailing address

671 Wyoming Ave
Kingston, PA 18704-3831
Phone (570) 288-4205

Other practice location 1

7 Poplar St
Towanda, PA 18848-1703
Phone (272) 234-3125

National Provider Directory

National Provider Directory

Locations

671 Wyoming Ave
Kingston, PA 18704
Phone (570) 288-4205

7 Poplar St
Towanda, PA 18848
Phone (272) 234-3125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1164289484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043831",
            "telephone_number": "570-288-4205",
            "fax_number": "570-288-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043831",
            "telephone_number": "570-288-4205",
            "fax_number": "570-288-4889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Towanda",
            "state": "PA",
            "postal_code": "188481703",
            "country_code": "US",
            "telephone_number": "272-234-3125",
            "fax_number": "570-288-4889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVE ADDICTION RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "ZELSNACK",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-288-4205",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.