Active NPI
Evonne Estelle Halligan, M.F.T.I.
- Counselor
- Eureka, CA
National Provider Identifier
1659406700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- IMF55537
- Practice address
- 1802 California St
Eureka, CA 95501-2808 - Phone
- (707) 443-7359
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IMF55537 | CA | Primary |
Addresses
Primary practice location
1802 California St
Eureka, CA 95501-2808
Mailing address
1802 California St
Eureka, CA 95501-2808
Phone (707) 443-7359
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF55537 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1659406700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 CALIFORNIA ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955012808",
"telephone_number": "707-443-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 CALIFORNIA ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955012808",
"telephone_number": "707-443-7359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIGAN",
"first_name": "EVONNE",
"middle_name": "ESTELLE",
"credential": "M.F.T.I.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "IMF55537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.