NPIMap

Organization Active NPI

Evolve Youth Services

  • Marriage & Family Therapist
  • Arcata, CA
National Provider Identifier
1457176083
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EVOLVE YOUTH SERVICES
Practice address
685 F St
Arcata, CA 95521-6325
Phone
(707) 825-1173
Fax
(707) 825-1163
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Alicia WorthNPI 1821228560
Title
Executive Director
Phone
(707) 825-1173

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

685 F St
Arcata, CA 95521-6325

Mailing address

685 F St
Arcata, CA 95521-6325
Phone (707) 825-1173

National Provider Directory

National Provider Directory

Locations

685 F St
Arcata, CA 95521
Phone (707) 825-1173

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1457176083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 F ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216325",
            "telephone_number": "707-825-1173",
            "fax_number": "707-825-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 F ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216325",
            "telephone_number": "707-825-1173",
            "fax_number": "707-825-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-825-1173"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.