Individual provider Active NPI

Christine L Evans, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
National Provider Identifier
1306313259
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.171628 Issued in OH
Practice address
214 S 4TH St
Ironton, OH 45638-1610
Phone
(740) 532-3767
Fax
(740) 532-3385
NPI assigned
Oct 30, 2018
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CDCA.171628 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.171628 OH Primary

Addresses

Primary practice location

214 S 4TH St
Ironton, OH 45638-1610

Mailing address

PO Box 163
Portsmouth, OH 45662-0163
Phone (740) 377-5156

Other practice location 1

700 Park Ave
Ironton, OH 45638-1502
Phone (740) 532-1613

Other identifiers 1

IdentifierTypeStateIssuer
0321582MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CDCA.171628OHMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Outreach Services, LTD Addiction (Substance Use Disorder) CurrentSince Aug 29, 2021 Accepting new patients
Spectrum Outreach Services, LTD PastSince Aug 29, 2021 Accepting new patients

Locations

214 S 4th St
Ironton, OH 45638
Phone (740) 532-3767

Interoperability endpoints

  • Direct secure messaging: christine.evans.p1@direct.thecounselingcenter.nextgenshare.com

Organizations & group practices 2

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1306313259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456620163",
            "telephone_number": "740-377-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S 4TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381610",
            "telephone_number": "740-532-3767",
            "fax_number": "740-532-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456381502",
            "country_code": "US",
            "telephone_number": "740-532-1613",
            "fax_number": "740-532-1715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CDCA.171628",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.171628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0321582",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.