Active NPI
Evolution Counseling and Wellness Services
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1306461983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EVOLUTION COUNSELING AND WELLNESS SERVICES
- Practice address
- 9901 Brodie LN Ste 160-966
Austin, TX 78748-5803 - Phone
- (512) 995-9995
- NPI assigned
- Jun 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annetta L Warren, MS, LPC, LCDC
- Title
- Therapist/Clinical Mental Health
- Phone
- (254) 291-5058
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9901 Brodie LN Ste 160-966
Austin, TX 78748-5803
Mailing address
9901 Brodie LN Ste 160-966
Austin, TX 78748-5803
Phone (254) 291-5058
National Provider Directory
National Provider DirectoryLocations
9901 Brodie Ln
Ste 160966
Austin, TX 78748
Phone (512) 995-9995
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Killeen, TX
- NPI 1194231506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596067200000",
"number": "1306461983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9901 BRODIE LN STE 160-966",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787485803",
"telephone_number": "254-291-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9901 BRODIE LN STE 160-966",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787485803",
"telephone_number": "512-995-9995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLUTION COUNSELING AND WELLNESS SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "ANNETTA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "THERAPIST/CLINICAL MENTAL HEALTH",
"authorized_official_telephone_number": "254-291-5058",
"authorized_official_credential": "MS, LPC, LCDC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.