Evolve With Enas LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

EVOLVE WITH ENAS LLC

Practice address

22 Orchard St
Vernon, CT 06066-3034

Phone

(860) 337-4007

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Miss Enas Mohammad, LMFTNPI 1730515644

Title

Clinician

Phone

(860) 337-4007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Enas Mohammad, MFT

  • Marriage & Family Therapist
  • Waterbury, CT
  • NPI 1730515644
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1669171120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ORCHARD ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663034",
            "telephone_number": "860-337-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ORCHARD ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663034",
            "telephone_number": "860-337-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE WITH ENAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "MOHAMMAD",
        "authorized_official_first_name": "ENAS",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "860-337-4007",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Vernon, CT
• Providers in Vernon, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.