Individual provider Active NPI

Bridgjette Monique Evans, LPC

  • Mental Health Counselor
  • Sugar Land, TX
National Provider Identifier
1326674037
Registry record updated Mar 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
78197 Issued in TX
Practice address
120 Eldridge Rd Ste C
Sugar Land, TX 77478-4640
Phone
(713) 234-7008
NPI assigned
Mar 14, 2020
Last updated
Mar 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 78197 TX Primary

Addresses

Primary practice location

120 Eldridge Rd Ste C
Sugar Land, TX 77478-4640

Mailing address

7 Victorian Run
Sugar Land, TX 77498-2535
Phone (713) 553-9751

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
78197TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Peace Counseling Services, LLC CurrentSince Sep 6, 2020 Accepting new patients
Healthy Young Minds TX LLC Mental Health Past Accepting new patients

Locations

120 Eldridge Rd
Ste C
Sugar Land, TX 77478
Phone (346) 375-4682

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": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1326674037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VICTORIAN RUN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982535",
            "telephone_number": "713-553-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ELDRIDGE RD STE C",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784640",
            "telephone_number": "713-234-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BRIDGJETTE",
        "middle_name": "MONIQUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.