Evolve Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5581125 Issued in WI

Legal business name

EVOLVE COUNSELING LLC

Practice address

2600 Rib Mountain Dr
Suite 101
Wausau, WI 54401-7196

Phone

(715) 298-6201

Fax

(715) 600-9031

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Janice J Spangler, MA, LPCNPI 1295000610

Title

Owner

Phone

(715) 298-6201

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Janice Spangler, MA

  • Counselor
  • Shiocton, WI
  • NPI 1295000610
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1699120816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 RIB MOUNTAIN DR",
            "address_2": "SUITE 101",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017196",
            "telephone_number": "715-298-6201",
            "fax_number": "715-600-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 RIB MOUNTAIN DR",
            "address_2": "SUITE 101",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017196",
            "telephone_number": "715-298-6201",
            "fax_number": "715-600-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "SPANGLER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-298-6201",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5581125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100039690",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evans Counseling, LLC
• Kelly Charles Evans, PH.D.
• Lori M Evans
• Zjia Anita Manzanares Evans, C.R.N.A.
• Stephanie L Eversdyk, CMA
• Evolve Pelvic Wellness LLC
• Elissa Susan Ewan, DPT
• Eye Clinic of Wisconsin SC
• Eyecare Center of Wausau LLC
• Eyemart Express LLC

• Mental Health Counselor in Wausau, WI
• Providers in Wausau, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.