Callie Evans, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

99114056A Issued in IN

Practice address

25 Executive Dr Ste G
Lafayette, IN 47905-4880

Phone

(217) 504-0131

NPI assigned

Sep 23, 2022

Sex

Female

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Illume Counseling and Wellness Center LLC

  • Mental Health Counselor
  • Danville, IL
  • NPI 1215490115
  NPD (past)

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1467175455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N GILBERT ST STE 5",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325639",
            "telephone_number": "217-597-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EXECUTIVE DR STE G",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054880",
            "telephone_number": "217-504-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CALLIE",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99114056A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Esquivel
• Doug A Essex, LCAC
• Neil Craine Estabrook III, M.D.
• Arthur Ray Euler, M.D.
• Evans Eye Care Inc (Evans & Taylor Eye Care Group)
• Erin Evans, DDS
• Matthew E Evans, O.D.
• Evans, Piggott & Finney Eye Care Group Vision Therapy Center, LLC (EPF Vision Therapy Center)
• Rebecca Jean Evans, CNM
• Cindy Marie Everett, NP

• Mental Health Counselor in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.