Evolutionary Holistic Healing

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVOLUTIONARY HOLISTIC HEALING

Practice address

155 Broadway
Kingston, NY 12401-6057

Phone

(347) 387-2651

NPI assigned

Sep 28, 2020

Organization subpart

No

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

Authorized official

Name

Tiffany Schrepf, LMHC

Title

Owner

Phone

(347) 387-2651

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1255948840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016057",
            "telephone_number": "347-387-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016057",
            "telephone_number": "347-387-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTIONARY HOLISTIC HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "SCHREPF",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-387-2651",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph C. Erena, D.D.S.
• Peter Joseph Errico, PHARMD
• Errol R. Nadler LCSW, P.C.
• Riccardo J Esposito, M.D.
• Esther Wolf Radin, CSW, PC
• Evolutionary Psychotherapy LCSW PLLC
• Eye Associates
• Eye Associates,PC
• Marissa Nicole Fabros, DDS, MS
• Kamil Ayodapo Fagbenro, PHARMD

• All providers in Kingston, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.