Evo Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EVO COUNSELING LLC

Practice address

715 Hill St Ste 270
Madison, WI 53705-3572

Phone

(608) 501-3361

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Nicole Lynn Podolak, LCSW

Title

Owner, Therapist

Phone

(608) 501-3361

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1174380620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HILL ST STE 270",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053572",
            "telephone_number": "608-501-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HILL ST STE 270",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053572",
            "telephone_number": "608-501-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVO COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "PODOLAK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "608-501-3361",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E063264",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Everson, LMFT
• Jeanette Di Everson, MD
• Jennifer L Everton, D.O.
• Evexeya Health, LLC
• Celeste Marie Evica
• Evolution Exercise and Spine Center of Madison LLC
• Kirk Evan Evoy
• Amanda Redman Evridge, LCSW
• John E Ewalt, M.D.
• Kathleen M Ewanowski, PA-C

• Community/Behavioral Health Agency in Madison, WI
• Providers in Madison, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.