Organization Active NPI

Evolution Studios, Inc. Dba Evolution Counseling Services

  • Clinical Social Worker
  • Glen Ellyn, IL
National Provider Identifier
1598090110
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013812 Issued in IL
Legal business name
EVOLUTION STUDIOS, INC. DBA EVOLUTION COUNSELING SERVICES
Practice address
23W111 Kings CT
Glen Ellyn, IL 60137-7215
Phone
(630) 336-6676
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
David Link
Title
President
Phone
(630) 212-2278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149.013812 IL Primary

Addresses

Primary practice location

23W111 Kings CT
Glen Ellyn, IL 60137-7215

Mailing address

347 McKee St
Batavia, IL 60510-1919
Phone (630) 212-2278

National Provider Directory

National Provider Directory

Locations

347 McKee St
Batavia, IL 60510

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": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1598090110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MCKEE ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101919",
            "telephone_number": "630-212-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23W111 KINGS CT",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377215",
            "telephone_number": "630-336-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION STUDIOS, INC. DBA EVOLUTION COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-212-2278"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.