Organization Active NPI

Evoke Counseling and Wellness

  • Mental Health Counselor
  • Panama City, FL
National Provider Identifier
1730903352
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EVOKE COUNSELING AND WELLNESS
Practice address
700 W 23Rd St Ste 28C
Panama City, FL 32405-3932
Phone
(850) 270-3005
Fax
(850) 616-0092
NPI assigned
Nov 11, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Jessica Leigh Griffin, LMHCNPI 1205675873
Title
Owner/President
Phone
(850) 270-3005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

700 W 23Rd St Ste 28C
Panama City, FL 32405-3932

Mailing address

700 W 23Rd St Ste 28C
Panama City, FL 32405-3932
Phone (850) 270-3005

National Provider Directory

National Provider Directory

Locations

700 W 23rd St
Ste 28C
Panama City, FL 32405
Phone (850) 270-3005

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1730903352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 23RD ST STE 28C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053932",
            "telephone_number": "850-270-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 23RD ST STE 28C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053932",
            "telephone_number": "850-270-3005",
            "fax_number": "850-616-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOKE COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "850-270-3005",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.