Darcie Linn Evans, LICSW
Individual provider Active NPI Mental Health Counselor · Nantucket, MA
NPI 1164533402 · NPPES record last updated Apr 10, 2015
Key facts
- NPI
- 1164533402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 110335 (MA)
- Practice address
- 126 Main St
Nantucket, MA 02554-2123 - Phone
- (508) 825-2552
- Fax
- (508) 825-0831
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2016 through Jul 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110335 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darcie Evans Licsw Counseling Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 110335 | MA | |
| Mental Health Counselor | 101YM0800X | 110335 | MA | Yes |
Addresses
Primary practice location
126 Main St
Nantucket, MA 02554-2123
Mailing address
126 Main St
PO Box 49
Nantucket, MA 02554-2123
Phone (508) 825-2552
Other providers in Nantucket, MA
- Dupont Physical Therapy PC
- Betty K Dupont
- Peter Duquette
- Stacey Leah Dutra
- Kaitlyn Amy Erisman
- Karen J. Eveleth
- Kelly Ann Facteau
- Fairwinds-Nantucket'S Counseling Center, Inc
- Fairwinds-Nantuckets Counseling Center
- Family and Children'S Services of Nantucket
All providers in Nantucket, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.