Individual provider Active NPI

Evan Hunter Jr., LPC, LADC

  • Professional Counselor
  • Waterbury, CT
National Provider Identifier
1366051468
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
006121 Issued in CT
Practice address
140 Grandview Ave Ste B
Waterbury, CT 06708-2505
Phone
(203) 759-8021
NPI assigned
Jul 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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 006121 CT Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1382 CT

Addresses

Primary practice location

140 Grandview Ave Ste B
Waterbury, CT 06708-2505

Mailing address

53 Hawthorne Ave
Waterbury, CT 06708-4614
Phone (203) 346-8277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516003048 CT Practitioner - Mental Health Counselor 5698116911 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006121CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwoods Counseling Referrals, Inc. Professional CurrentSince Apr 8, 2024 Accepting new patients
Ehj Counseling LLC Addiction (Substance Use Disorder) CurrentSince Aug 11, 2025 Accepting new patients
Northwest Counseling Services PC Professional Past Accepting new patients

Locations

25 South St
Litchfield, CT 06759
Phone (860) 393-2520

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1366051468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HAWTHORNE AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067084614",
            "telephone_number": "203-346-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GRANDVIEW AVE STE B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082505",
            "telephone_number": "203-759-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "EVAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "006121",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.