Evelyn Puig

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701008612 Issued in VA

Practice address

36 Ricketts Dr
Winchester, VA 22601-3676

Phone

(540) 535-1112

NPI assigned

Nov 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Met-R Integrated Health, Inc.

  • Community Health Clinic/Center
  • Winchester, VA
  • NPI 1295359941
  NPD Authorized official
• Winchester Community Mental Health Center, Inc.

  • Psychiatry Physician
  • Winchester, VA
  • NPI 1457593188

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Winchester Community Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Inwood, WV
  • NPI 1841783487
  NPD (past) Authorized official

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1336493592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 SW 22ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 RICKETTS DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013676",
            "telephone_number": "540-535-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Stony Pointe Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Strasburg",
            "state": "VA",
            "postal_code": "226572672",
            "country_code": "US",
            "telephone_number": "540-535-1112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13300 SW 22nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331751115",
            "country_code": "US",
            "telephone_number": "305-218-1894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Hovatter Dr",
            "address_purpose": "LOCATION",
            "city": "Inwood",
            "state": "WV",
            "postal_code": "254281298",
            "country_code": "US",
            "telephone_number": "304-901-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUIG",
        "first_name": "EVELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13881",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701008612",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel D Pryslak
• Psychological Health Associates
• Psychotherapy Associates of Winchester
• Bethany Ruth Pugh
• Hannah Jordan Pugh, BSW
• Kyle Pulse, DO
• Melanie Rose Pumphrey
• Leslie Purcell, FNP-C
• Anne Pursifull, PT
• Michele Lynett Pye, PHD, ATC

• Mental Health Counselor in Winchester, VA
• Providers in Winchester, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.