Active NPI
John B Evans, PH.D., LCSW
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1235329236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09923278
- Practice address
- 6915 Tutt Blvd Ste 110B
Colorado Springs, CO 80923-3591 - Phone
- (719) 445-1292
- Fax
- (719) 591-6486
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 27844 | TX | |
| Clinical Social Worker | 1041C0700X | CSW.09923278 | CO | Primary |
Addresses
Primary practice location
6915 Tutt Blvd Ste 110B
Colorado Springs, CO 80923-3591
Mailing address
1065 NE 125TH St Ste 409
North Miami, FL 33161-5834
Phone (888) 852-6672
Other practice location 1
9218 Kimmer Dr Ste 200
Lone Tree, CO 80124-6733
Phone (303) 683-5620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dream Catcher Therapy Center Inc. | Current | Accepting new patients | |
| Thedrjohn Com LLC | Clinical | Current | Accepting new patients |
| Hope Dealers of Grand Junction, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Olathe, CO
- NPI 1881768067
-
- Professional Counselor
- Grand Junction, CO
- NPI 1215401427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1235329236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 NE 125TH ST STE 409",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615834",
"telephone_number": "888-852-6672",
"fax_number": "305-891-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6915 TUTT BLVD STE 110B",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809233591",
"telephone_number": "719-445-1292",
"fax_number": "719-591-6486"
}
],
"practiceLocations": [
{
"address_1": "9218 Kimmer Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Lone Tree",
"state": "CO",
"postal_code": "801246733",
"country_code": "US",
"telephone_number": "303-683-5620",
"fax_number": "303-683-5609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "JOHN",
"middle_name": "B",
"credential": "PH.D., LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "27844",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09923278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.