Organization Active NPI

Evolucion Counseling PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1245999879
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EVOLUCION COUNSELING PLLC
Practice address
8627 Cinnamon Creek Dr Ste 601
San Antonio, TX 78240-1482
Phone
(210) 772-0071
NPI assigned
Dec 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Angela Cano SampsonNPI 1215551536
Title
Ceo Evolucion Counseling PLLC
Phone
(210) 845-6202

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

8627 Cinnamon Creek Dr Ste 601
San Antonio, TX 78240-1482

Mailing address

8627 Cinnamon Creek Dr Ste 601
San Antonio, TX 78240-1482
Phone (210) 772-0071

Other identifiers 6

IdentifierTypeStateIssuer
1245999879OtherTXUNITED HEALTH CARE
1245999879OtherTXANTHEM
1245999879OtherTXEVERNORTH
1245999879OtherTXCIGNA
1245999879OtherTXAETNA
1245999879OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

8627 Cinnamon Creek Dr
Ste 601
San Antonio, TX 78240
Phone (210) 725-1039

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1245999879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 CINNAMON CREEK DR STE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401482",
            "telephone_number": "210-772-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 CINNAMON CREEK DR STE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401482",
            "telephone_number": "210-772-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUCION COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "CANO SAMPSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO EVOLUCION COUNSELING PLLC",
        "authorized_official_telephone_number": "210-845-6202"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1245999879",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1245999879",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERNORTH",
            "identifier": "1245999879",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1245999879",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1245999879",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1245999879",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.