Active NPI
Darcie Linn Evans, LICSW
- Mental Health Counselor
- Nantucket, MA
National Provider Identifier
1164533402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 110335
- Practice address
- 126 Main St
Nantucket, MA 02554-2123 - Phone
- (508) 825-2552
- Fax
- (508) 825-0831
- NPI assigned
- Aug 31, 2006
- Last updated
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 110335 | MA | |
| Mental Health Counselor | 101YM0800X | 110335 | MA | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: 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
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Nantucket, MA
- NPI 1588091441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428624000000",
"number": "1164533402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 MAIN ST",
"address_2": "PO BOX 49",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025542123",
"telephone_number": "508-825-2552",
"fax_number": "508-825-0831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 MAIN ST",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025542123",
"telephone_number": "508-825-2552",
"fax_number": "508-825-0831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DARCIE",
"middle_name": "LINN",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2015-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "110335",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "110335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nantucket, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.