Active NPI
Evelyn Christine McDonald, CADACII, ICADC
- Addiction (Substance Use Disorder) Counselor
- Anderson, IN
National Provider Identifier
1720725047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C-1955
- Practice address
- 208 Ravinia Ave
Anderson, IN 46011-1344 - Phone
- (317) 938-4246
- NPI assigned
- May 18, 2022
- Last updated
- May 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-1955 | IN | Primary |
Addresses
Primary practice location
208 Ravinia Ave
Anderson, IN 46011-1344
Mailing address
208 Ravinia Ave
Anderson, IN 46011-1344
Phone (179) 384-2463
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | evelyn.mcdonald@joingroups.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-1955 | IN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1720725047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 RAVINIA AVE",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460111344",
"telephone_number": "179-384-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 RAVINIA AVE",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460111344",
"telephone_number": "317-938-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "EVELYN",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "CADACII, ICADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "C-1955",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "evelyn.mcdonald@joingroups.com",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "208 Ravinia Ave",
"city": "Anderson",
"state": "IN",
"country_code": "US",
"postal_code": "460111344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.