Organization Active NPI

Even You Coaching LLC

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1316767833
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EVEN YOU COACHING LLC
Practice address
1500 Shipyard Rd Ste D1128
Chesapeake, VA 23323-5516
Phone
(302) 827-3481
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Andre Allen, LCSWNPI 1629805304
Title
Owner
Phone
(410) 443-8634

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1500 Shipyard Rd Ste D1128
Chesapeake, VA 23323-5516

Mailing address

1500 Shipyard Rd Ste D1128
Chesapeake, VA 23323-5516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241216000977 VA Part B Supplier - Clinic/Group Practice 5395271225 Receives reassigned benefits from 2 practitioners
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

1500 Shipyard Rd
Ste D1128
Chesapeake, VA 23323
Phone (302) 827-3481

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1316767833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHIPYARD RD STE D1128",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233235516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHIPYARD RD STE D1128",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233235516",
            "telephone_number": "302-827-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEN YOU COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-443-8634",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.