Organization Active NPI

Evolve Counseling & Consulting LLC

  • Social Worker
  • Gainesville, FL
National Provider Identifier
1225596414
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
EVOLVE COUNSELING & CONSULTING LLC
Practice address
1731 NW 6TH St Ste B2
Gainesville, FL 32609-8515
Phone
(352) 275-7792
NPI assigned
Mar 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Jesenia Minniefield
Title
Owner/Lead Psychotherapist
Phone
(352) 275-7792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1731 NW 6TH St Ste B2
Gainesville, FL 32609-8515

Mailing address

4352 282ND Ter
Branford, FL 32008-2374
Phone (352) 275-7792

National Provider Directory

National Provider Directory

Locations

1731 NW 6th St
Ste B2
Gainesville, FL 32609
Phone (352) 275-7792

136 NW Veterans St
Lake City, FL 32055
Phone (352) 275-7792

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1225596414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4352 282ND TER",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320082374",
            "telephone_number": "352-275-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 NW 6TH ST STE B2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098515",
            "telephone_number": "352-275-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "MINNIEFIELD",
        "authorized_official_first_name": "JESENIA",
        "authorized_official_title_or_position": "OWNER/LEAD PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "352-275-7792"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.