Evergreen Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EVERGREEN COUNSELING SERVICES, LLC

Practice address

316 W Ogeechee St Ste D
Sylvania, GA 30467-1933

Phone

(912) 687-2611

NPI assigned

Jul 22, 2021

Last updated

Jul 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren AmasonNPI 1801429212

Title

Owner

Phone

(912) 687-2611

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 3

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.

• Lauren Maierhoffer Amason, MED, NCC, APC

  • Counselor
  • Rincon, GA
  • NPI 1801429212
  Medicare reassignment NPD Authorized official
• Georgia Boswell

  • Professional Counselor
  • Statesboro, GA
  • NPI 1528789849
  Medicare reassignment NPD
• Karen Ware

  • Professional Counselor
  • Sylvania, GA
  • NPI 1730591314
  NPD

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1174196612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2223",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304677423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W OGEECHEE ST STE D",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304671933",
            "telephone_number": "912-687-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "AMASON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-687-2611"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lauren@egcs.health",
            "affiliation": "N",
            "address_1": "316 W Ogeechee St Ste D",
            "city": "Sylvania",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304671933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katrina Cooper
• Prissilla Cooper, LMT
• Nicolasa Correa, PHD, DAHN, DFM, DTN
• Anne Davis, NP
• East Georgia Healthcare Center Inc
• Faith Forward Transit, LLC.
• James Cleveland Freeman Jr., RPH
• Ga Opco LLC (Pine View Nursing and Rehab Center)
• Gerdie and Louise PCH
• Gerdie and Louise Personal Care Home, L.L.C.

• Community/Behavioral Health Agency in Sylvania, GA
• Providers in Sylvania, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.