Individual provider Active NPI

Evan Jarschauer, MAC, LMCH, CAP, MBA

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1295027324
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7924 Issued in FL
Practice address
7777 Glades Rd Ste 100
Boca Raton, FL 33434-4150
Phone
(800) 787-1721
NPI assigned
May 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP2944 FL
Mental Health Counselor 101YM0800X MH7924 FL Primary

Addresses

Primary practice location

7777 Glades Rd Ste 100
Boca Raton, FL 33434-4150

Mailing address

7777 Glades Rd Ste 100
Boca Raton, FL 33434-4150
Phone (800) 787-1721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
CAP2944FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1295027324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 GLADES RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344150",
            "telephone_number": "800-787-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 GLADES RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344150",
            "telephone_number": "800-787-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARSCHAUER",
        "first_name": "EVAN",
        "credential": "MAC, LMCH, CAP, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP2944",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.