Individual provider Active NPI

Evelyn Evano, LPC, LMFT

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1336323716
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0586 Issued in OR
Practice address
550 E 50TH Ave
Eugene, OR 97405-3502
Phone
(541) 686-2527
Fax
(888) 975-9439
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C2113 OR
Marriage & Family Therapist 106H00000X T0586 OR Primary

Addresses

Primary practice location

550 E 50TH Ave
Eugene, OR 97405-3502

Mailing address

550 E 50TH Ave
Eugene, OR 97405-3502
Phone (541) 686-2527

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
C2113ORMDProfessional Counselor
T0586ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1336323716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 50TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053502",
            "telephone_number": "541-686-2527",
            "fax_number": "888-975-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 50TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053502",
            "telephone_number": "541-686-2527",
            "fax_number": "888-975-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANO",
        "first_name": "EVELYN",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2113",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.