NPIMap

Organization Active NPI

Lisa Evans Ma, Inc.

  • Professional Counselor
  • Wylie, TX
National Provider Identifier
1164757290
Registry record updated Jan 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65594 Issued in TX
Legal business name
LISA EVANS MA, INC.
Practice address
808 S Ballard Ave
Suite 100
Wylie, TX 75098-4224
Phone
(972) 522-8448
Fax
(972) 429-2164
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2010

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

Authorized official

Name
Lisa Carol Evans, MA, LPCNPI 1457689887
Title
Ceo
Phone
(972) 522-8448

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 65594 TX Primary

Addresses

Primary practice location

808 S Ballard Ave
Suite 100
Wylie, TX 75098-4224

Mailing address

PO Box 2214
Wylie, TX 75098-2214
Phone (972) 522-8448

Other names 1

  • Lisa C. Evans, MA, LPC Counseling Agency Other name

National Provider Directory

National Provider Directory

Locations

808 S Ballard Ave
Ste 100
Wylie, TX 75098
Phone (972) 522-8448

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": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262390400000",
    "number": "1164757290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2214",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750982214",
            "telephone_number": "972-522-8448",
            "fax_number": "972-429-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S BALLARD AVE",
            "address_2": "SUITE 100",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984224",
            "telephone_number": "972-522-8448",
            "fax_number": "972-429-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA EVANS MA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2010-01-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-522-8448",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa C. Evans, MA, LPC Counseling Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2010; 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.