Individual provider Active NPI

Ryan Thomas Evans, MS, LMHP, PLADC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1619217916
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4511 Issued in NE
Practice address
12728 Augusta Ave
Omaha, NE 68144-3754
Phone
(402) 330-1537
Fax
(402) 330-9331
NPI assigned
Feb 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4511 NE Primary

Addresses

Primary practice location

12728 Augusta Ave
Omaha, NE 68144-3754

Mailing address

12728 Augusta Ave
Omaha, NE 68144-3754
Phone (402) 330-1537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222000880 NE Practitioner - Mental Health Counselor 7315432945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6910 Pacific St
Suite 320
Omaha, NE 68106-1044
Phone (402) 545-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4511NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Evans Counseling, LLC Mental Health Current Accepting new patients
Optimal Counseling & Consulting, LLC Mental Health CurrentSince Oct 20, 2025 Accepting new patients

Locations

6910 Pacific St
Ste 320
Omaha, NE 68106
Phone (402) 545-0500

Organizations & group practices 2

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": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1619217916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 AUGUSTA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443754",
            "telephone_number": "402-330-1537",
            "fax_number": "402-330-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 AUGUSTA AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443754",
            "telephone_number": "402-330-1537",
            "fax_number": "402-330-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MS, LMHP, PLADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-22",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.