Reuel Evans, MFTI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

99122 Issued in CA

Practice address

1250 Pine St Ste 100
Walnut Creek, CA 94596-3633

Phone

(925) 963-5353

NPI assigned

Jun 29, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Institute of Mindful Therapy

  • Marriage & Family Therapist
  • Walnut Creek, CA
  • NPI 1255871091
  NPD (past)
• Sorrenta Stuart LMFT PC

  • Marriage & Family Therapist
  • Walnut Creek, CA
  • NPI 1932937513
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1447771522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PINE ST STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PINE ST STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963633",
            "telephone_number": "925-963-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "REUEL",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "99122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaundria L Evans
• Carol Elaine Evans, NP
• Derrick Evans
• Isabella Evans
• Karen A. Evans, MD
• Susannah Kristine Evans, RBT
• Laeeq Evered, PSY.D.
• Russell L Everest, M.D.
• Kayla Everhart
• Amy Evje

• Mental Health Counselor in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.