Individual provider Active NPI

Evony Marbut, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Houston, TX
National Provider Identifier
1700493632
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
8495 Issued in TX
Practice address
204 Clifton St
Houston, TX 77011-3314
Phone
(713) 926-9491
Fax
(713) 926-2672
NPI assigned
Sep 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 8495 TX Primary

Addresses

Primary practice location

204 Clifton St
Houston, TX 77011-3314

Mailing address

9207 Guywood St
Houston, TX 77040-4542
Phone (281) 686-6772

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

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1700493632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9207 GUYWOOD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770404542",
            "telephone_number": "281-686-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CLIFTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770113314",
            "telephone_number": "713-926-9491",
            "fax_number": "713-926-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBUT",
        "first_name": "EVONY",
        "name_prefix": "Mr.",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "8495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.