Individual provider Active NPI

Farah Maria Evans, LCPC

  • Professional Counselor
  • Towson, MD
National Provider Identifier
1194076323
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC4226 Issued in MD
Practice address
1055 Taylor Ave
Suite 205
Towson, MD 21286-8317
Phone
(410) 296-2004
Fax
(410) 296-0094
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC4226 MD Primary
School Counselor 101YS0200X 13-9188 MD

Addresses

Primary practice location

1055 Taylor Ave
Suite 205
Towson, MD 21286-8317

Mailing address

1055 Taylor Ave
Towson, MD 21286-8317
Phone (410) 296-2004

Other identifiers 1

IdentifierTypeStateIssuer
LC4226OtherMDBOARD OF PROFESSIONAL COUNSELORS & THERAPIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC4226MDMDProfessional Counselor
13-9188MDMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Stone Foundation, LLC Past Accepting new patients
New Perspectives LLC Professional Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1194076323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 TAYLOR AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868317",
            "telephone_number": "410-296-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 TAYLOR AVE",
            "address_2": "SUITE 205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868317",
            "telephone_number": "410-296-2004",
            "fax_number": "410-296-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "FARAH",
        "middle_name": "MARIA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4226",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MD",
            "license": "13-9188",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PROFESSIONAL COUNSELORS & THERAPIST",
            "identifier": "LC4226",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.