Richard Wallace Evans Jr., CRC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

296010 Issued in KY

Practice address

260 W McLaughlin Ave
Madisonville, KY 42431-3024

Phone

(270) 821-6426

NPI assigned

Feb 15, 2022

Last updated

Jan 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Green Leaf Counseling & Coaching

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madisonville, KY
  • NPI 1598461444

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• McCoy Counseling LLC

  dba Argenta Counseling

  • Counselor
  • North Little Rock, AR
  • NPI 1538655006
  NPD (past)
• Mental Wellness Connection

  • Mental Health Counselor
  • Bentonville, AR
  • NPI 1740089929
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1194470575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W MCLAUGHLIN AVE",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424313024",
            "telephone_number": "270-821-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W MCLAUGHLIN AVE",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424313024",
            "telephone_number": "270-821-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RICHARD",
        "middle_name": "WALLACE",
        "name_suffix": "Jr.",
        "credential": "CRC, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "296010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Brown Taylor PSC
• Endure Homecare Services, LLC
• Tracey Lynn Ervin, RPH
• Jennifer Nicole Estes, CRNA
• Walker Lee Estes, D.P.M.
• Alisha B. Evitts, HIS
• William Andrew Fain, SRNA
• Derek Fairrow, PTA
• Amira Faizal-Vincent
• Laura Ann Farley, PTA

• Mental Health Counselor in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.