Organization Active NPI

Evolve Empower Counseling

  • Community/Behavioral Health Agency
  • Lafayette, LA
National Provider Identifier
1437928629
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EVOLVE EMPOWER COUNSELING
Doing business as
Evolve Empower Counseling
Practice address
108 Exchange PL Ste 290
Lafayette, LA 70503-2558
Phone
(337) 901-2513
Fax
(337) 777-1577
NPI assigned
Dec 28, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Mrs. Tanya Porter, MSNPI 1417459538
Title
Licensed Professional Counselor
Phone
(337) 298-8605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

108 Exchange PL Ste 290
Lafayette, LA 70503-2558

Mailing address

108 Exchange PL Ste 290
Lafayette, LA 70503-2558
Phone (337) 901-2513

Other identifiers 1

IdentifierTypeStateIssuer
3338106MedicaidLA

Other names 1

  • Evolve Empower Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

108 Exchange Pl
Ste 290
Lafayette, LA 70503
Phone (337) 541-2689

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1437928629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 EXCHANGE PL STE 290",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032558",
            "telephone_number": "337-901-2513",
            "fax_number": "337-777-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EXCHANGE PL STE 290",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032558",
            "telephone_number": "337-901-2513",
            "fax_number": "337-777-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE EMPOWER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "337-298-8605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3338106",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Empower Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.