NPIMap

Organization Active NPI

Evolutionary Soul Counseling & Wellness Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mechanicsburg, PA
National Provider Identifier
1689345357
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EVOLUTIONARY SOUL COUNSELING & WELLNESS SERVICES, LLC
Practice address
5010 Ritter Rd Ste 109
Mechanicsburg, PA 17055-4828
Phone
(717) 357-8230
NPI assigned
Sep 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Shaunaca S James, LPCNPI 1518630839
Title
Licensed Professional Counselor
Phone
(717) 357-8230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5010 Ritter Rd Ste 109
Mechanicsburg, PA 17055-4828

Mailing address

5010 Ritter Rd Ste 109
Mechanicsburg, PA 17055-4828
Phone (717) 357-8230

Other names 1

  • Evolutionary Soul Counseling Other name

National Provider Directory

National Provider Directory

Locations

1000 Carlisle St
Ste 2225
Hanover, PA 17331
Phone (717) 476-1866

5010 Ritter Rd
Ste 109
Mechanicsburg, PA 17055
Phone (717) 357-8230

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1689345357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 RITTER RD STE 109",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554828",
            "telephone_number": "717-357-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 RITTER RD STE 109",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554828",
            "telephone_number": "717-357-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTIONARY SOUL COUNSELING & WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SHAUNACA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "717-357-8230",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolutionary Soul Counseling",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Evolutionary Soul Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.