Evelyn M Gilliam, CAC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

001168 Issued in SC

Practice address

187 W Broad St
Spartanburg, SC 29306-3234

Phone

(864) 582-7588

Fax

(864) 582-0431

NPI assigned

Jan 16, 2013

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1497092092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 W BROAD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063234",
            "telephone_number": "864-582-7588",
            "fax_number": "864-582-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 W BROAD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063234",
            "telephone_number": "864-582-7588",
            "fax_number": "864-582-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "EVELYN",
        "middle_name": "M",
        "credential": "CAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "001168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF SC",
            "identifier": "2192",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCAADAC",
            "identifier": "001168",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Del Valle Gil Guevara, M.D.
• Kaitlyn Gilbert, LPC-A
• Constance Giles
• Anne V Gilkey, APRN
• Cassidy Elizabeth Gillespie
• Teresa Gingerella, LPC
• Mary Christina Giovannetti, NP
• Vanessa Giraldo
• Charles Lawrence Glace, MD
• Joseph Michael Glendening, DO

• Addiction (Substance Use Disorder) Counselor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.