Nicole Elisabeth Evans, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

99987 Issued in CA

Practice address

1150 Yale St Ste 3
Santa Monica, CA 90403-4774

Phone

(818) 426-4979

NPI assigned

Aug 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evans Marriage Family Therapy Inc.

  • Marriage & Family Therapist
  • Austin, TX
  • NPI 1942938469
  NPD Authorized official

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1710468434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 11TH ST APT 5",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031650",
            "telephone_number": "818-426-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 YALE ST STE 3",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034774",
            "telephone_number": "818-426-4979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 S Robertson Blvd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900351642",
            "country_code": "US",
            "telephone_number": "323-739-4584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NICOLE",
        "middle_name": "ELISABETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "99987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssia Evans
• James Leonard Evans, MATCM
• Jeremy Evans
• Marilyn Vivica Evans, FNP-BC
• Matthew Evans
• Vanessa Beltramino Evans, ME.D., LPCA, CADC II
• Leslie Chang Evertson, N.P.
• Demitress Ewers
• Eyexam of California
• Philomina Eyong, PA

• Mental Health Counselor in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.