Evolve Counseling Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

LPC.0006480 Issued in CO

Legal business name

EVOLVE COUNSELING SERVICES LLC

Practice address

1136 E. Stuart
BLDG. 4 Ste. 101
Fort Collins, CO 80525

Phone

(970) 232-9339

Fax

(970) 232-9367

NPI assigned

Apr 25, 2018

Organization subpart

No

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

Authorized official

Name

Lindsey Lee Phillips, LPC

Title

Owner

Phone

(719) 440-5475

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1639667652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S LEMAY AVE",
            "address_2": "STE. 7 #152",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252298",
            "telephone_number": "970-232-9339",
            "fax_number": "970-232-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E. STUART",
            "address_2": "BLDG. 4 STE. 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-232-9339",
            "fax_number": "970-232-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-440-5475",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": "LPC.0006480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Therapy LLC
• Douglas A Everhart, RPH
• Sarah Elaine Everill, NP
• Connie Elane Everton, LPN
• Lindsey Evig
• Ewa Ostoja LLC
• Tonaira Ewald, CAC II
• Kaitlyn Ann Ewan, LCSW
• Stacey Ewan, MS
• Julia Ewanowski, LCSW

• Adult Mental Health Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.