Active NPI
Whitnie Evans, MED LPC US
- Counselor
- Poteau, OK
National Provider Identifier
1265843056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC UNDERSUPERVISION
- Practice address
- 34183 Country Club LN
Poteau, OK 74953-9122 - Phone
- (918) 647-7641
- NPI assigned
- May 14, 2014
- Last updated
- May 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC UNDERSUPERVISION | OK | Primary |
Addresses
Primary practice location
34183 Country Club LN
Poteau, OK 74953-9122
Mailing address
34183 Country Club LN
Poteau, OK 74953-9122
Phone (918) 647-7641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC UNDERSUPERVISION | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Vally Counseling | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Poteau, OK
- NPI 1114338118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1265843056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34183 COUNTRY CLUB LN",
"city": "POTEAU",
"state": "OK",
"postal_code": "749539122",
"telephone_number": "918-647-7641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34183 COUNTRY CLUB LN",
"city": "POTEAU",
"state": "OK",
"postal_code": "749539122",
"telephone_number": "918-647-7641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "WHITNIE",
"credential": "MED LPC US",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "LPC UNDERSUPERVISION",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.