Evolve Virtual Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EVOLVE VIRTUAL COUNSELING LLC

Practice address

1 Easy St
Jasper, IN 47546-8145

Phone

(812) 639-9943

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Christine Vaal, LCSWNPI 1558787853

Title

Owner

Phone

(812) 639-9943

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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

• Christine Vaal

  • Mental Health Counselor
  • Jasper, IN
  • NPI 1558787853
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1427764125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EASY ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475468145",
            "telephone_number": "812-639-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EASY ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475468145",
            "telephone_number": "812-639-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE VIRTUAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "VAAL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-639-9943",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Judith Ann Englert, M.D.
• Evan B Hurst, MD, Internal Medicine, PC
• Adaeze Ezeaka, MD
• Marc Falkenhain, PHD
• Family Foot & Ankle Care of Jasper, PC
• Family Home Medical Equipment
• Claire Feldmeier, RBT

• Clinical Social Worker in Jasper, IN
• Providers in Jasper, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.