Robert L Evans III, PHD, LCPC, LPC, MAC,

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC3102 Issued in MD

Practice address

3200 Crain Hwy Ste 205
Waldorf, MD 20603-4843

Phone

(240) 448-2475

Fax

(240) 448-2335

NPI assigned

Nov 27, 2017

Last updated

May 17, 2023By 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 2

Addresses

Other identifiers 1

Other names 1

• Empowerment Counseling and Training Services Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Empowerment Counseling & Training Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
  • NPI 1356036263
  NPD Authorized official
• Psychfit Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
  • NPI 1750238309
  NPD Authorized official
• Integrative Therapeutic Solutions, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waldorf, MD
  • NPI 1073356119
  Authorized official Same address or phone
• Integrative Therapeutic Solutions, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
  • NPI 1386414662
  Authorized official Same address or phone
• Integrative Therapeutic Solutions, LLC

  • Rehabilitation Clinic/Center
  • Waldorf, MD
  • NPI 1437880556
  Authorized official Same address or phone

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1235643479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13106 HAMPTON FARM LN",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135812",
            "telephone_number": "202-441-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CRAIN HWY STE 205",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034843",
            "telephone_number": "240-448-2475",
            "fax_number": "240-448-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHD, LCPC, LPC, MAC,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-27",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14040",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891005700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMPOWERMENT",
            "last_name": "TRAINING SERVICES",
            "middle_name": "COUNSELING AND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alesha Coates Entsua-Mensah, PHARM.D.
• Patricia Alene Ernster, LCMFT
• Tamu L Escalera, PMHNP-BC
• Ethos Behavior Consulting LLC
• Jonvoana Rotresh Evans
• Samantha Marie Evans
• Everbloom Psychiatric and Mental Health Services
• Rebekah Everett, LAT, ATC
• Chanda Everhart, LCSW-C
• Eversafe Home Care LLC

• Professional Counselor in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.