Active NPI
Tor Evans
- Professional Counselor
- Bartlett, IL
National Provider Identifier
1366808172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180009208
- Practice address
- 250 S Il Route 59
Bartlett, IL 60103-1648 - Phone
- (630) 483-5799
- NPI assigned
- Jan 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180009208 | IL | Primary |
Addresses
Primary practice location
250 S Il Route 59
Bartlett, IL 60103-1648
Mailing address
250 S Il Route 59
Bartlett, IL 60103-1648
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180009208 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover Township Youth and Family Service | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Bartlett, IL
- NPI 1881080547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1366808172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 S IL ROUTE 59",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601031648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S IL ROUTE 59",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601031648",
"telephone_number": "630-483-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-08",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180009208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.