Individual provider Active NPI

Michelle Lea Evans, LPC, NCC, CEDS-S

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1730457052
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0012914 Issued in CO
Practice address
3460 Briargate Blvd
Colorado Springs, CO 80920-4168
Phone
(719) 578-5132
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC12432 MD
Mental Health Counselor 101YM0800X 2010041594 MO
Mental Health Counselor 101YM0800X LPC.0012914 CO Primary

Addresses

Primary practice location

3460 Briargate Blvd
Colorado Springs, CO 80920-4168

Mailing address

1500 Bradford CT
Woodland Park, CO 80863-3322
Phone (314) 882-5521

Other practice location 1

330 N Gore Ave
Saint Louis, MO 63119-1600
Phone (314) 968-2060 ext. 4608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NJ, MD, TX, CO, GA, OH, AZ, UT, WA, CT, ME, RI, VT, FL, MO, OR, TN, NC, VA20 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 20

Enrollment IDStateProvider typePAC IDDetails
I20240222001662 MN Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251114001834 NJ Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251114002173 MD Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251114002820 TX Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251117000726 CO Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251120003674 GA Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251121001079 OH Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251121001219 AZ Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251121003215 UT Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251121003989 WA Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251210002477 CT Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251210002710 ME Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251210003004 RI Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251210003304 VT Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251211000511 FL Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251211001282 MO Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251217000859 OR Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251217004418 TN Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20251222003290 NC Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization
I20260113004027 VA Practitioner - Mental Health Counselor 0840634424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 Bradford CT
Woodland Park, CO 80863-3322

PO Box
Dallas, TX 75373

PO Box
Suite 738012
Dallas, TX 75373-8012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0012914COMDMental Health Counselor
2010041594MOMDMental Health Counselor
LC12432MDMDProfessional Counselor
8701CTMDClinical Social Worker
19831NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Wagner Medical PC CurrentSince Oct 1, 2025 Accepting new patients
Sondermind PC Professional CurrentSince Nov 3, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Oct 1, 2025 Accepting new patients
Edc of Denver, LLC Past Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

63 Federal St
Portland, ME 04101
Phone (207) 560-0551

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776

4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

1400 Hooper Ave
Ste 2
Toms River, NJ 08753
Phone (732) 339-3398

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 255-7859

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

145 Pine Haven Shores Rd
Shelburne, VT 05482
Phone (802) 316-4135

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1730457052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BRADFORD CT",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633322",
            "telephone_number": "314-882-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 BRIARGATE BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204168",
            "telephone_number": "719-578-5132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N Gore Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631191600",
            "country_code": "US",
            "telephone_number": "314-968-2060 x4608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, CEDS-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12432",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2010041594",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0012914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.