Robert Evans III, MA, MFT, LPCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC36771 Issued in CA

Practice address

1650 Shakerag Rd
Hanson, KY 42413-9635

Phone

(530) 919-5243

NPI assigned

Apr 24, 2007

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Evans Counseling, LLC

  • Mental Health Counselor
  • Hanson, KY
  • NPI 1972344620
  NPD Authorized official
• Cameron Park Counseling Center, Inc.

  dba Cameron Park Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cameron Park, CA
  • NPI 1477760874
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1467670265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SHAKERAG RD",
            "city": "HANSON",
            "state": "KY",
            "postal_code": "424139635",
            "telephone_number": "530-919-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SHAKERAG RD",
            "city": "HANSON",
            "state": "KY",
            "postal_code": "424139635",
            "telephone_number": "530-919-5243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 Camerado Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956827636",
            "country_code": "US",
            "telephone_number": "530-919-5243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ROBERT",
        "name_suffix": "III",
        "credential": "MA, MFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "286019",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merry Bullock
• Robert Cain, RPH
• Commonwealth of Kentucky (Joseph Eddie Ballard Western Kentucky Veterans Center)
• Janet Lee Adams Densmore
• Evans Counseling, LLC
• Edward G Frodge, COTA/L
• Hanson Pharmacy and Wellness Center
• Hopkins County Health Department
• Bryce Kapper, PTA
• Richard Wayne Lake, LMFT

• Marriage & Family Therapist in Hanson, KY
• Providers in Hanson, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.