Evergreeen Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVERGREEEN COUNSELING

Doing business as

Prodigal Projects Counseling LLC

Practice address

1130 Shull Island Rd
Gilbert, SC 29054-8605

Phone

(501) 230-5009

NPI assigned

Dec 27, 2021

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bogan AveryNPI 1316311467

Title

Owner

Phone

(501) 230-5009

Specialties & licenses 1

Addresses

Other names 1

• Prodigal Projects Counseling LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bogan Avery, LAC

  • Counselor
  • Searcy, AR
  • NPI 1316311467
  NPD Authorized official

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1730849167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SHULL ISLAND RD",
            "city": "GILBERT",
            "state": "SC",
            "postal_code": "290548605",
            "telephone_number": "501-230-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SHULL ISLAND RD",
            "city": "GILBERT",
            "state": "SC",
            "postal_code": "290548605",
            "telephone_number": "501-230-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEEN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "BOGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-230-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prodigal Projects Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenya A Cooper, MD
• Joshua Cox, DO
• Denise G. Derrick
• Sandra Mitchiner Dyer, RPH
• Lisa D Emmer
• William Franklin Harmon, PT
• Victor Hill, DMD
• Alyssa Megan Taylor Hodge, FNP-BC
• Elise Johnson, M.S. CCC-SLP
• Leanne Marie Kyzer, PHARMD

• Mental Health Counselor in Gilbert, SC
• Providers in Gilbert, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.