Patrice Maree Evans, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085455 Issued in MI

Practice address

202 Elm Ave
Suite 2
Munising, MI 49862-1108

Phone

(906) 387-6404

Fax

(888) 405-0628

NPI assigned

Sep 11, 2007

Last updated

Nov 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patrice Evans Counseling, PLLC

  • Mental Health Counselor
  • Wetmore, MI
  • NPI 1225313067
  Medicare reassignment NPD Authorized official
• Aspen Counseling and Recovery Services, PLLC

  • Clinical Psychologist
  • Munising, MI
  • NPI 1184949653
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1639364706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498620435",
            "telephone_number": "906-387-6404",
            "fax_number": "888-405-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ELM AVE",
            "address_2": "SUITE 2",
            "city": "MUNISING",
            "state": "MI",
            "postal_code": "498621108",
            "telephone_number": "906-387-6404",
            "fax_number": "888-405-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PATRICE",
        "middle_name": "MAREE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MI5062",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Dobbins, LPC
• Hannah M Edmondson, CHW,CPRC,PN
• Bailey Elizabeth Elliott
• Jay H Eppinga, M.D.
• Monica Eriksen
• FMG West City Park Drive Michigan LLC (Tendercare Health Center - Munising)
• Karen Sue Freeborn, FNP-BC
• Cassandra Gasman
• Marissa Emily Graves, LLMSW
• Great Lakes Recovery Centers

• Clinical Social Worker in Munising, MI
• Providers in Munising, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.