Active NPI
William N. Evans, LPC, PHD
- Professional Counselor
- Chesapeake, VA
National Provider Identifier
1740317478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701001634
- Practice address
- 224 Great Bridge Blvd
Chesapeake, VA 23320-3904 - Phone
- (757) 547-9334
- Fax
- (757) 819-6292
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710000263 | VA | |
| Professional Counselor | 101YP2500X | 0701001634 | VA | Primary |
Addresses
Primary practice location
224 Great Bridge Blvd
Chesapeake, VA 23320-3904
Mailing address
224 Great Bridge Blvd
Chesapeake, VA 23320-3904
Phone (757) 547-9334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710000263 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701001634 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1740317478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 GREAT BRIDGE BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203904",
"telephone_number": "757-547-9334",
"fax_number": "757-819-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 GREAT BRIDGE BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203904",
"telephone_number": "757-547-9334",
"fax_number": "757-819-6292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "WILLIAM",
"middle_name": "N.",
"credential": "LPC, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710000263",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.