Evergreen Coaching and Counseling, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

EVERGREEN COACHING AND COUNSELING, INC.

Practice address

411 E Park St Ste 106
Champaign, IL 61820-3862

Phone

(217) 714-7042

Fax

(855) 216-6514

NPI assigned

Jan 4, 2019

Last updated

Sep 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittney Homann, LCSWNPI 1245774256

Title

Ceo

Phone

(217) 714-7042

Specialties & licenses 6

Addresses

Tax ID family

Evergreen Coaching and Counseling Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Evergreen Coaching and Counseling, Inc.

  • Adult Mental Health Clinic/Center
  • Champaign, IL
  • NPI 1265114219
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittney Homann, MSW, LCSW

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1245774256
  NPD Authorized official
• Mala Nash, PHD

  • School Psychologist
  • Champaign, IL
  • NPI 1811617392
  NPD
• Jonathan William Thomas-Stagg, LICENSED PSYCHOLOGIS

  • Clinical Psychologist
  • Champaign, IL
  • NPI 1992074215
  NPD
• Jason Patrick Brooks, MSW

  • Social Worker
  • Champaign, IL
  • NPI 1558293944
  NPD (past)

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1649743360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E PARK ST STE 106",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203862",
            "telephone_number": "217-714-7042",
            "fax_number": "855-216-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E PARK ST STE 106",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203862",
            "telephone_number": "217-714-7042",
            "fax_number": "855-216-6514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 Lake Land Blvd",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619385521",
            "country_code": "US",
            "telephone_number": "217-714-7042",
            "fax_number": "855-216-6514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2206 Eastland Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617047742",
            "country_code": "US",
            "telephone_number": "217-714-7042",
            "fax_number": "855-216-6514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Spring Mill Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627046599",
            "country_code": "US",
            "telephone_number": "217-714-7042",
            "fax_number": "855-216-6514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 N Glen Park Place Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616144685",
            "country_code": "US",
            "telephone_number": "217-714-7042",
            "fax_number": "855-216-6514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 W Kirby Ave Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618215123",
            "country_code": "US",
            "telephone_number": "217-714-7042",
            "fax_number": "855-216-6514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Eastland Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617047923",
            "country_code": "US",
            "telephone_number": "217-714-7042",
            "fax_number": "855-216-6514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVERGREEN COACHING AND COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "HOMANN",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-714-7042",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Evans, LCSW
• William Evans, RBT
• Evelyn Marie Moore O.D., P.C.
• Evergreen Assessment & Consultation LLC
• Evergreen Coaching and Counseling, Inc.
• Everside Health LLC (Marathon Health, Champaign IL)
• Roger Ewald, M.D.
• Brittany Michelle Ewing
• Kye Thomas Ewing, LCSW
• Excel Prep (Excel Prep Learning Center)

• Clinical Psychologist in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.