Active NPI
Evol Consulting LLC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1730419656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025810800 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Omaha, NE
- NPI 1295177103
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.