Individual provider Active NPI

Shaikiema Evans

  • Mental Health Counselor
  • Burlington, NC
National Provider Identifier
1649010414
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHL-001-288 Issued in NC
Practice address
613 Everett St
Burlington, NC 27215-5903
Phone
(336) 523-6726
NPI assigned
May 29, 2024
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHL001-288 NC
Mental Health Counselor 101YM0800X MHL-001-288 NC Primary

Addresses

Primary practice location

613 Everett St
Burlington, NC 27215-5903

Mailing address

2434 Aaron St
Burlington, NC 27215-1907
Phone (336) 523-6726

Other practice location 1

613 Everett St
Burlington, NC 27215-5903
Phone (336) 523-6726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MHL-001-288NCMDMental Health Counselor
MHL001-288NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anns Love and Care Home CurrentSince Jun 16, 2024 Accepting new patients
Anns Love and Care Home LLC, CurrentSince Jul 21, 2024 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1649010414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 AARON ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272151907",
            "telephone_number": "336-523-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 EVERETT ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155903",
            "telephone_number": "336-523-6726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Everett St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272155903",
            "country_code": "US",
            "telephone_number": "336-523-6726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SHAIKIEMA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL001-288",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL-001-288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.