Organization Active NPI

Evolve Wellness

  • Counselor
  • Bel Air, MD
National Provider Identifier
1255188561
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
EVOLVE WELLNESS
Practice address
5 N Main St Ste 2B
Bel Air, MD 21014-3768
Phone
(443) 797-9140
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Joseph Jacob Mauler, LGPC, NCC, CFONPI 1609590397
Title
Cfo and Mental Health Therapist
Phone
(443) 797-9140

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

5 N Main St Ste 2B
Bel Air, MD 21014-3768

Mailing address

715 Ridgewood Rd
Bel Air, MD 21014-2938
Phone (443) 797-9140

National Provider Directory

National Provider Directory

Locations

5 N Main St
Ste 2B
Bel Air, MD 21014
Phone (410) 989-2034

Practitioners & affiliated clinicians

Practitioners 1

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": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1255188561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 RIDGEWOOD RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142938",
            "telephone_number": "443-797-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N MAIN ST STE 2B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143768",
            "telephone_number": "443-797-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "MAULER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CFO AND MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "443-797-9140",
        "authorized_official_credential": "LGPC, NCC, CFO"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.