Evolution Psychotherapy, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVOLUTION PSYCHOTHERAPY, PLLC

Practice address

133 Blakely Rd Ste 202
Colchester, VT 05446-3984

Phone

(802) 448-0448

NPI assigned

Oct 3, 2019

Last updated

Oct 3, 2019By 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

Michael Sheppard, LCMHCNPI 1841640554

Title

Owner

Phone

(802) 448-0448

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Michael Sheppard, LCMHC

  • Mental Health Counselor
  • Burlington, VT
  • NPI 1841640554
  Authorized official Same address or phone
• Kristi Cornforth, LICSW

  • Clinical Social Worker
  • South Burlington, VT
  • NPI 1619433364
  NPD (past)
• Kristin C Sopronyi, LIC. PSY. MS

  • Clinical Psychologist
  • Colchester, VT
  • NPI 1689811747
  NPD (past)

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1720629462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054460541",
            "telephone_number": "802-448-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BLAKELY RD STE 202",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463984",
            "telephone_number": "802-448-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-448-0448",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie D. Eschholz, PT
• Reuben Escorpizo, DPT
• Ann Evelyn Etherington, RN
• Trudee Ettlinger, PH.D., APRN, LADC
• Sarah Evans
• Merrick Fahrenwald
• Sara Nicole Falconer, DPT
• Family First Chiropractic, Inc
• Sarah Farrell, MA
• Chad Kay Fellows, OD

• Mental Health Counselor in Colchester, VT
• Providers in Colchester, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.