Etp LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ETP LLC

Doing business as

Evolve Therapy Practice

Practice address

3053 Center Point Rd NE Ste B
Cedar Rapids, IA 52402-4049

Phone

(319) 777-9536

NPI assigned

Feb 17, 2025

Last updated

Jun 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley WillhiteNPI 1619420221

Title

Credentialing

Phone

(319) 777-9536

Specialties & licenses 1

Addresses

Other names 1

• Evolve Therapy Practice Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Willhite

  • Mental Health Counselor
  • Cedar Rapids, IA
  • NPI 1619420221
  NPD Authorized official

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1700681475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 CENTER POINT RD NE STE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024049",
            "telephone_number": "319-777-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 CENTER POINT RD NE STE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024049",
            "telephone_number": "319-777-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "WILLHITE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "319-777-9536"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Therapy Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.