Evolate LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EVOLATE LLC

Practice address

5634 E 78TH PL
Tulsa, OK 74136-8413

Phone

(918) 500-7629

NPI assigned

Oct 29, 2025

Organization subpart

No

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

Authorized official

Name

Holley Michelle Elam, LPCNPI 1629583620

Title

Provider

Phone

(918) 500-7629

Specialties & licenses 3

Addresses

Practitioners 1

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

• Holley Michelle Elam, LPC

  • Professional Counselor
  • Tulsa, OK
  • NPI 1629583620
  NPD Authorized official

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1336018373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5634 E 78TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368413",
            "telephone_number": "918-500-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5634 E 78TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368413",
            "telephone_number": "918-500-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "HOLLEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "918-500-7629",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.