Evolve Counseling & Neurofeedback Center Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

EVOLVE COUNSELING & NEUROFEEDBACK CENTER INC

Practice address

225 NE C St
Grants Pass, OR 97526-2175

Phone

(541) 500-8655

Fax

(800) 433-1396

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Darnel Scott, LMFTNPI 1831376656

Title

Owner

Phone

(541) 500-8655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darnel Scott, LMFT

  • Marriage & Family Therapist
  • Medford, OR
  • NPI 1831376656
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1295506327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1787",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010261",
            "telephone_number": "541-500-8655",
            "fax_number": "800-433-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NE C ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262175",
            "telephone_number": "541-500-8655",
            "fax_number": "800-433-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE COUNSELING & NEUROFEEDBACK CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DARNEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-500-8655",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald L Estes Jr., PA-C
• Julie Marie Evancich
• Jacqueline Michelle Evans
• James Dean Evans, RPH
• Timothy Warren Evans, R.PH., M.S.
• Eye Care Group of Southern Oregon, LLC
• Eye to Eye Counseling and Therapy LLC
• Eyeglass Center
• Agnes Olaolu Ezekiel, PMHNP-BC
• Matthew Allyn Fagert, CRNA

• Marriage & Family Therapist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.