Evoke Changes LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EVOKE CHANGES LLC

Practice address

753 Migration Rd
Somers, MT 59932-5993

Phone

(406) 823-0231

NPI assigned

Feb 3, 2022

Organization subpart

No

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

Authorized official

Name

Sean Bass Patrick, LCPCNPI 1164770301

Title

Owner

Phone

(406) 823-0231

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Sean Patrick, LCPC

  • Mental Health Counselor
  • Kalispell, MT
  • NPI 1164770301
  NPD Authorized official

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1316690852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1371",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599031371",
            "telephone_number": "406-823-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 MIGRATION RD",
            "city": "SOMERS",
            "state": "MT",
            "postal_code": "599325993",
            "telephone_number": "406-823-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOKE CHANGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "BASS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-823-0231",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523464",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Flathead School District 29
• Denise Lynn Davies
• Valerie A Goss, NBC-HWC
• Suzanne C Gullotta, APRN
• Lakeside Clinic P.C.
• Lakeside Wellness PC
• Myia L Powers, L.C.S.W.

• Psychologist in Somers, MT
• Providers in Somers, MT by specialty
• Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.