Active NPI
Sally Evans
- Professional Counselor
- Round Rock, TX
National Provider Identifier
1558635227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12921
- Practice address
- 1930 Rawhide Dr Ste 302
Round Rock, TX 78681-6954 - Phone
- (512) 246-2232
- NPI assigned
- Feb 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 12921 | TX | Primary |
Addresses
Primary practice location
1930 Rawhide Dr Ste 302
Round Rock, TX 78681-6954
Mailing address
1930 Rawhide Dr Ste 302
Round Rock, TX 78681-6954
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12921 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Counseling, LLC | Professional | Past | Accepting new patients |
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": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1558635227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 RAWHIDE DR STE 302",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786816954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 RAWHIDE DR STE 302",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786816954",
"telephone_number": "512-246-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SALLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.