Kimberly Ann Evans, EDS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006590 Issued in GA

Practice address

308 Clairemont Ave
Decatur, GA 30030-2506

Phone

(770) 241-5863

NPI assigned

Oct 25, 2013

Last updated

Oct 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1730517962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 RALPH MCGILL BLVD NE",
            "address_2": "UNIT 1372",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CLAIREMONT AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302506",
            "telephone_number": "770-241-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "EDS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "006590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Manaskie Evans, PHARMD
• C. Simone Evans, D.C.
• Chloe Diane Evans, D.O.
• Deja Evans, RBT
• Jasmine M Evans
• Tia Secora Evans
• Wyatt Evans
• Evercare Pediatrics LLC
• Ana Everett, BS-SOC, MPA, PHD
• Sarra Everett, MS, LAPC, NCC

• Mental Health Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.