Active NPI
Michelle Renee Evans, MA
- Professional Counselor
- Spartanburg, SC
National Provider Identifier
1447264015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301100 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5012 | SC | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers, Inc | Current | Accepting new patients | |
| Family Health Centers, Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Orangeburg, SC
- NPI 1144248451
SC
-
- Federally Qualified Health Center (FQHC)
- Holly Hill, SC
- NPI 1609279744
-
- Federally Qualified Health Center (FQHC)
- Saint George, SC
- NPI 1437353794
-
- Federally Qualified Health Center (FQHC)
- Saint Matthews, SC
- NPI 1528262888
-
- Federally Qualified Health Center (FQHC)
- Neeses, SC
- NPI 1669676201
-
- Federally Qualified Health Center (FQHC)
- Denmark, SC
- NPI 1700080066
-
- Community/Behavioral Health Agency
- Spartanburg, SC
- NPI 1104147073
-
- Federally Qualified Health Center (FQHC)
- Vance, SC
- NPI 1346444601
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.