Evolution Therapy and Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EVOLUTION THERAPY AND COUNSELING LLC

Practice address

9550 S Eastern Ave Ste 220
Las Vegas, NV 89123-8045

Phone

(702) 494-8085

NPI assigned

Jul 2, 2019

Organization subpart

No

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

Authorized official

Name

Michelle McDaniel, LCSWNPI 1982914867

Title

Owner

Phone

(702) 461-0379

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

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

• Michelle M McDaniel, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1982914867
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1437711157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COROLLA CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125567",
            "telephone_number": "703-461-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 S EASTERN AVE STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238045",
            "telephone_number": "702-494-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION THERAPY AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-461-0379",
        "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": []
}

• Evolution Foster Care Inc
• Evolution Healthcare
• Evolution LLC
• Evolution Mental Health Inc
• Evolution of Life, LLC
• Evolve
• Evolve and Heal Wellness Center
• Evolve Counseling and Learning Enrichment Center, LLC
• Evolve Health NV Carter PLLC
• Evolve Pelvic PT LLC

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.