Individual provider Active NPI

Steven Glenn Evans, ACMHC

  • Mental Health Counselor
  • Ogden, UT
National Provider Identifier
1407401110
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10529433-6009 Issued in UT
Practice address
2909 Washington Blvd
Ogden, UT 84401-3744
Phone
(888) 801-1556
NPI assigned
Aug 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10529433-6009 UT Primary

Addresses

Primary practice location

2909 Washington Blvd
Ogden, UT 84401-3744

Mailing address

PO Box 6332
Ogden, UT 84402-6332
Phone (801) 648-3665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20241001001913 UT Practitioner - Mental Health Counselor 5496286551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace and Peace Christian CounselingGroup PAC ID 8820438336, 3 clinicians

Practice addresses (Care Compare)

2909 Washington Blvd
Ogden, UT 84401-3744
Phone (888) 801-1556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10529433-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grace & Peace Christian Counseling Mental Health CurrentSince Jul 5, 2024 Accepting new patients

Locations

2909 Washington Blvd
Ogden, UT 84401
Phone (801) 603-3246

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.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1407401110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6332",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844026332",
            "telephone_number": "801-648-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013744",
            "telephone_number": "888-801-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "STEVEN",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10529433-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.