Evergreen Counseling and Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EVERGREEN COUNSELING AND WELLNESS, LLC

Practice address

526 S Creyts Rd Ste C
Lansing, MI 48917-8263

Phone

(517) 221-9522

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Shanty RobbennoltNPI 1528402591

Title

Owner/Member/Therapist

Phone

(517) 221-9522

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Shanty Robbennolt, MA, LPC, CAADC, CCS

  • Mental Health Counselor
  • Lansing, MI
  • NPI 1528402591

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1366172041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S CREYTS RD STE C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178263",
            "telephone_number": "517-221-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S CREYTS RD STE C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178263",
            "telephone_number": "517-221-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "ROBBENNOLT",
        "authorized_official_first_name": "SHANTY",
        "authorized_official_title_or_position": "OWNER/MEMBER/THERAPIST",
        "authorized_official_telephone_number": "517-221-9522"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "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": []
}

• Linda Harris Evans, LLPC
• Scott Evans
• Wendy Evans
• Elizabeth Everett
• John David Everett, MD
• Evergreen Dental Center,PLLC
• Evergreen Diagnostics
• Evergreen Therapy LLC
• Everlasting Homecare LLC
• Evolve Counseling & Holistic Wellness LLC

• Professional Counselor in Lansing, MI
• Providers in Lansing, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.