Active NPI
Evenson Counseling, LLC
- Mental Health Counselor
- Sioux Falls, SD
National Provider Identifier
1194499780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EVENSON COUNSELING, LLC
- Practice address
- 5000 S Broadband LN Ste 119
Sioux Falls, SD 57108-2261 - Phone
- (605) 777-0075
- Fax
- (888) 977-2561
- NPI assigned
- Aug 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lori Evenson, PHD, LPC-MH
- Title
- Owner
- Phone
- (605) 777-0075
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5000 S Broadband LN Ste 119
Sioux Falls, SD 57108-2261
Mailing address
5000 S Broadband LN Ste 119
Sioux Falls, SD 57108-2261
Phone (605) 777-0075
Other names 1
- Lori Evenson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221205000161 | SD | Part B Supplier - Clinic/Group Practice | 3274902820 |
Receives reassigned benefits from 6 practitioners Practice locations: Sioux Falls, SD |
National Provider Directory
National Provider DirectoryLocations
5000 S Broadband Ln
Ste 119
Sioux Falls, SD 57108
Phone (605) 777-0075
3701 W 49th St
Ste 108
Sioux Falls, SD 57106
Phone (605) 777-0075
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Paullina, IA
- NPI 1306494489
Mental Health, SD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1194499780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 S BROADBAND LN STE 119",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082261",
"telephone_number": "605-777-0075",
"fax_number": "888-977-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 S BROADBAND LN STE 119",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082261",
"telephone_number": "605-777-0075",
"fax_number": "888-977-2561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVENSON COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-06",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "EVENSON",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-777-0075",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LPC-MH"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lori Evenson",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.