Individual provider Active NPI

Michelle Renee Evans, MA

  • Professional Counselor
  • Spartanburg, SC
National Provider Identifier
1447264015
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5012 Issued in SC
Practice address
1 Hidden Springs Rd
Spartanburg, SC 29302-5090
Phone
(864) 266-3393
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5012 SC Primary

Addresses

Primary practice location

1 Hidden Springs Rd
Spartanburg, SC 29302-5090

Mailing address

1 Hidden Springs Rd
Spartanburg, SC 29302-5090
Phone (864) 266-3393

Other identifiers 1

IdentifierTypeStateIssuer
301100MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240523004182 SC Practitioner - Mental Health Counselor 6901248756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers, Inc.Group PAC ID 2860305075, 25 clinicians

Practice addresses (Care Compare)

3310 Magnolia St
Orangeburg, SC 29115-1466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5012SCMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers, Inc CurrentSince Apr 3, 2024 Accepting new patients
Family Health Centers, Inc CurrentSince Apr 3, 2024 Accepting new patients
Family Health Centers, Inc. Past Accepting new patients
Family Health Centers, Inc. Past Accepting new patients
Family Health Centers, Inc. Past Accepting new patients
New Beginnings Counseling Services Past Accepting new patients
Family Health Centers, Inc. Past Accepting new patients

Locations

3310 Magnolia St
Orangeburg, SC 29115
Phone (803) 531-6900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFEFCD

Organizations & group practices 8

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1447264015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIDDEN SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293025090",
            "telephone_number": "864-266-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIDDEN SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293025090",
            "telephone_number": "864-266-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.