Active NPI
Evone Kay Coombs, MA, LCPC
- Professional Counselor
- Woodstock, IL
National Provider Identifier
1528480597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.006704
- Practice address
- 527 W South St
Woodstock, IL 60098-3756 - Phone
- (815) 338-2910
- NPI assigned
- Jan 10, 2014
- Last updated
- Jan 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.006704 | IL | Primary |
Addresses
Primary practice location
527 W South St
Woodstock, IL 60098-3756
Mailing address
527 W South St
Woodstock, IL 60098-3756
Phone (815) 338-2910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006704 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1528480597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 W SOUTH ST",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600983756",
"telephone_number": "815-338-2910",
"fax_number": "815-338-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 W SOUTH ST",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600983756",
"telephone_number": "815-338-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOMBS",
"first_name": "EVONE",
"middle_name": "KAY",
"credential": "MA, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-10",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.006704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, IL
- Community Clinic Center, LTD
- Community Counseling Center, LTD.
- Community Health Partnership of Illinois
- Timothy D Conway, DDS
- Richard O Cook, MD
- Kathleen Ann Cooper, MS, CCC-SLP
- Cornerstone Care Inc.
- Cornerstone Care, Inc. (Cornerstone Counseling)
- County of McHenry
- County of McHenry Illinois (Valley Hi Nursing Home for McHenry County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.