Robert Evans

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

License

624 Issued in LA

Practice address

5608 17TH Ave NW
Seattle, WA 98107-5232

Phone

(206) 569-0801

Fax

(206) 326-1777

NPI assigned

Jul 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Grandview Counseling, LLC

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1568247872
  NPD Authorized official
• Team Vocational Services

  • Rehabilitation Clinic/Center
  • Seattle, WA
  • NPI 1316563299
  NPD

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1629696935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 17TH AVE NW STE 596",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075232",
            "telephone_number": "206-569-0801",
            "fax_number": "206-326-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 17TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075232",
            "telephone_number": "206-569-0801",
            "fax_number": "206-326-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "LA",
            "license": "624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDMS (CERTIFIED DISABILITY MANAGEMENT SPECIALIST)",
            "identifier": "4228579",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert@team-voc.com",
            "affiliation": "N",
            "endpointDescription": "Company email address, secure",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5608 17th Ave NW",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981075232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Evans
• Phoebe Evans, ARNP
• R. Blair Evans, M.D.
• Rebecca Anne Evans, ARNP
• Riley C Evans
• Robyn Anne Evans, NP
• Ronald B. Evans, RRT
• Ryne Gregory Evans, MA, LMFT
• Samantha Evans, ND
• Shelby Evans

• Rehabilitation Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Rehabilitation Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.