Thedrjohn Com LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THEDRJOHN COM LLC

Practice address

3610 W Pikes Peak Ave
Colorado Springs, CO 80904-1930

Phone

(214) 448-5432

NPI assigned

May 30, 2023

Last updated

May 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John EvansNPI 1235329236

Title

Owner

Phone

(214) 448-5432

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John B Evans, PH.D., LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1235329236
  NPD Authorized official

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1285327940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 W PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809041930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 W PIKES PEAK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809041930",
            "telephone_number": "214-448-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEDRJOHN COM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-448-5432"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wellness Effect, LLC
• The Wellness Institute, LLC
• The Young Men's Christian Association of the Pikes Peak Region
• Brittanie Thebeau, LPC
• Linda Louise Thede, PSYD, L.P.C., L.P.
• Aimee Theelen, BSN, RN
• David P Theis, M.D.
• John Charles Theisen, PHARMD
• Matthew Al Thelen, PSYD
• Tracy Stewart Thelen, PT

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.