Organization Active NPI

Evolution Counseling

  • Clinical Social Worker
  • Tequesta, FL
National Provider Identifier
1447006283
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EVOLUTION COUNSELING
Practice address
4456 Nicole Cir
Tequesta, FL 33469-2574
Phone
(561) 706-5488
NPI assigned
Apr 24, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Shannon Shampaner, LCSWNPI 1437512589
Title
Owner
Phone
(561) 706-5488

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

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

4456 Nicole Cir
Tequesta, FL 33469-2574

Mailing address

4456 Nicole Cir
Tequesta, FL 33469-2574
Phone (561) 706-5488

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2024.

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1447006283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4456 NICOLE CIR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692574",
            "telephone_number": "561-706-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4456 NICOLE CIR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692574",
            "telephone_number": "561-706-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "SHAMPANER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-706-5488",
        "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": []
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.