Individual provider Active NPI

Shawntel Marie Evans, LPC-T

  • Professional Counselor
  • Wichita, KS
National Provider Identifier
1487476552
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04895-T Issued in KS
Practice address
8100 E 22ND St N Ste 2100-4
Wichita, KS 67226-2330
Phone
(316) 358-7128
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 04895-T KS Primary

Addresses

Primary practice location

8100 E 22ND St N Ste 2100-4
Wichita, KS 67226-2330

Mailing address

3650 N Woodlawn Blvd Apt 821
Wichita, KS 67220-2212
Phone (316) 295-7255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127002032 KS Practitioner - Mental Health Counselor 3577040047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2420 N Woodlawn Blvd
Suite 300
Wichita, KS 67220-3960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04895-TKSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Air Capital Counseling & Assessment, LLC Professional CurrentSince Dec 21, 2025 Accepting new patients

Locations

2420 N Woodlawn Blvd
Ste 300
Wichita, KS 67220
Phone (316) 347-7157

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1487476552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N WOODLAWN BLVD APT 821",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202212",
            "telephone_number": "316-295-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N STE 2100-4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262330",
            "telephone_number": "316-358-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SHAWNTEL",
        "middle_name": "MARIE",
        "credential": "LPC-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04895-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.