Individual provider Active NPI

Carolyn Evartt, LPC

  • Professional Counselor
  • Cleburne, TX
National Provider Identifier
1407397904
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74969 Issued in TX
Practice address
118 W Heard St Ste H
Cleburne, TX 76033-3800
Phone
(817) 645-5517
Fax
(817) 645-5715
NPI assigned
Mar 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74969 TX Primary

Addresses

Primary practice location

118 W Heard St Ste H
Cleburne, TX 76033-3800

Mailing address

118 W Heard St Ste H
Cleburne, TX 76033-3800
Phone (817) 645-5517

Other practice location 1

4645 Wyndham Ln
140
Frisco, TX 75033-0004
Phone (972) 786-4994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20250522001499 TX Practitioner - Mental Health Counselor 0143749135 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HCJ Legacy LLC CurrentSince Mar 20, 2025 Accepting new patients
Hillside Counseling LLC Professional Past Accepting new patients

Organizations & group practices 2

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": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1407397904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W HEARD ST STE H",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333800",
            "telephone_number": "817-645-5517",
            "fax_number": "817-645-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W HEARD ST STE H",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333800",
            "telephone_number": "817-645-5517",
            "fax_number": "817-645-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4645 Wyndham Ln",
            "address_2": "140",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750330004",
            "country_code": "US",
            "telephone_number": "972-786-4994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVARTT",
        "first_name": "CAROLYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.