Individual provider Active NPI

Laura Jean Evans, M.A., LMFT

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1275153496
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202678 Issued in TX
Practice address
1300 Kirkwood Rd Unit a
Austin, TX 78722-1508
Phone
(214) 802-3694
NPI assigned
Apr 17, 2020
Last updated
Apr 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 202678 TX Primary

Addresses

Primary practice location

1300 Kirkwood Rd Unit a
Austin, TX 78722-1508

Mailing address

1300 Kirkwood Rd Unit a
Austin, TX 78722-1508
Phone (214) 802-3694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 5, 2024 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
202678TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Evans Counseling, PLLC Marriage & Family Therapist CurrentSince May 22, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1275153496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 KIRKWOOD RD UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221508",
            "telephone_number": "214-802-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 KIRKWOOD RD UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221508",
            "telephone_number": "214-802-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "credential": "M.A., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.