Kelly Evans, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5178 Issued in MD

Practice address

8 Reservoir Circle, Suite 103
Families Connected, LLC
Baltimore, MD 21208

Phone

(443) 823-1676

NPI assigned

Aug 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Families Connected, LLC

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1215167689
  NPD (past)

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1396178174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 MALDEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111321",
            "telephone_number": "717-451-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RESERVOIR CIRCLE, SUITE 103",
            "address_2": "FAMILIES CONNECTED, LLC",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "443-823-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KELLY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin la Sha Nicole Evans
• George E Evans, D.D.S.
• Issac Corrette Evans Jr.
• Joyce Evans, M.D.
• Kathleen Urig Evans, MSN, APRN, CS-P
• Kristen Lynn Evans, D.M.D.
• Lauren Evans, M.D.
• Leah Evans, NP
• Mary Katherine Evans, CRNP
• Melissa Margaretann Evans, LCSW-C

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.