NPIMap

Organization Active NPI

Evolve Therapy LLC

Doing business as Evolve Therapy and Yoga

  • Mental Health Counselor
  • Tinley Park, IL
National Provider Identifier
1558173997
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EVOLVE THERAPY LLC
Doing business as
Evolve Therapy and Yoga
Practice address
7905 W 159TH St Ste C
Tinley Park, IL 60477-1345
Phone
(705) 580-7601
Fax
(708) 580-7602
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Loi Logan, LCSWNPI 1699015412
Title
Owner
Phone
(708) 580-7601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7905 W 159TH St Ste C
Tinley Park, IL 60477-1345

Mailing address

7905 W 159TH St Ste C
Tinley Park, IL 60477-1345
Phone (705) 580-7601

Other names 1

  • Evolve Therapy and Yoga Doing business as

National Provider Directory

National Provider Directory

Locations

7905 W 159th St
Ste C
Tinley Park, IL 60477
Phone (705) 580-7601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1558173997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 W 159TH ST STE C",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771345",
            "telephone_number": "705-580-7601",
            "fax_number": "708-580-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 W 159TH ST STE C",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771345",
            "telephone_number": "705-580-7601",
            "fax_number": "708-580-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "LOI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-580-7601",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Therapy and Yoga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.