NPIMap

Organization Active NPI

Evoke Behavioral Health LLC

  • Behavior Analyst
  • Denver, CO
National Provider Identifier
1295367423
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EVOKE BEHAVIORAL HEALTH LLC
Practice address
4400 E Evans Ave
Denver, CO 80222-5023
Phone
(720) 355-1066
Fax
(866) 817-1606
NPI assigned
Feb 5, 2020
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Emily White, BCBANPI 1174989354
Title
Ceo and Co-Founder
Phone
(720) 355-1066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU
Behavior Analyst 103K00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

4400 E Evans Ave
Denver, CO 80222-5023

Mailing address

4400 E Evans Ave
Denver, CO 80222-5023
Phone (720) 355-1066

Other practice location 1

1427 N Lafayette St # 1
Denver, CO 80218-2311
Phone (720) 355-1081

Other identifiers 1

IdentifierTypeStateIssuer
9000180677MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Evoke Behavioral Health LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1295367423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 E EVANS AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225023",
            "telephone_number": "720-355-1066",
            "fax_number": "866-817-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E EVANS AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225023",
            "telephone_number": "720-355-1066",
            "fax_number": "866-817-1606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1427 N Lafayette St # 1",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802182311",
            "country_code": "US",
            "telephone_number": "720-355-1081",
            "fax_number": "866-817-1606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOKE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CEO AND CO-FOUNDER",
        "authorized_official_telephone_number": "720-355-1066",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000180677",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.