Organization Active NPI

Evol Consulting LLC

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1730419656
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EVOL CONSULTING LLC
Practice address
2401 Lake St
Suite 140
Omaha, NE 68111-3872
Phone
(402) 614-6670
Fax
(402) 614-6676
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Chandra D Wrightsell
Title
President/Ceo
Phone
(402) 614-6670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2401 Lake St
Suite 140
Omaha, NE 68111-3872

Mailing address

2401 Lake St
Suite 140
Omaha, NE 68111-3872
Phone (402) 614-6670

Other identifiers 1

IdentifierTypeStateIssuer
10025810800MedicaidNE

National Provider Directory

National Provider Directory

Locations

2401 Lake St
Ste 140
Omaha, NE 68111
Phone (402) 614-6670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1730419656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LAKE ST",
            "address_2": "SUITE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681113872",
            "telephone_number": "402-614-6670",
            "fax_number": "402-614-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LAKE ST",
            "address_2": "SUITE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681113872",
            "telephone_number": "402-614-6670",
            "fax_number": "402-614-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHTSELL",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-614-6670"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025810800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.