Evolution Mental Health Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVOLUTION MENTAL HEALTH COUNSELING PLLC

Practice address

15 Riverside Dr
Johnson City, NY 13790-2742

Phone

(607) 217-4170

NPI assigned

Dec 22, 2022

Last updated

May 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eli Iskandar Kassis, LMHCNPI 1851720049

Title

Owner

Phone

(607) 217-4170

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Eli Kassis

  • Mental Health Counselor
  • Johnson City, NY
  • NPI 1851720049
  Authorized official Same address or phone

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1447962329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902742",
            "telephone_number": "607-217-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902742",
            "telephone_number": "607-217-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "KASSIS",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "ISKANDAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-217-4170",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.evolutionmentalhealthcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Therapy Appointment",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 Riverside Dr",
            "city": "Johnson City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137902742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Endwell Family Physicians LLP
• James Eng, MD
• Yesenia Enriquez Gonzalez, M.D.
• William Leif Ericksen, MD
• Bryan Joseph Esken, PTA
• Matthew S Fabian, CRNA
• Patricia Fahrenbach, M.ED., CCC-SLP
• Abdullah Faiq, MD
• Temitope Mary Falade, FNP
• Farbod Farahanchi, MD

• Mental Health Counselor in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.