Active NPI
Evolve Therapy Solutions, LLC
- Mental Health Counselor
- Northampton, MA
National Provider Identifier
1740867993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EVOLVE THERAPY SOLUTIONS, LLC
- Practice address
- 351 Pleasant St Ste B265
Northampton, MA 01060-3900 - Phone
- (413) 320-0877
- NPI assigned
- Mar 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalie Miles Brady, M.ED., LICSW
- Title
- Owner and Clinician
- Phone
- (413) 320-0877
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
351 Pleasant St Ste B265
Northampton, MA 01060-3900
Mailing address
351 Pleasant St Ste B265
Northampton, MA 01060-3900
Phone (413) 320-0877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Northampton, MA
- NPI 1558828756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1740867993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 PLEASANT ST STE B265",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603900",
"telephone_number": "413-320-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 PLEASANT ST STE B265",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603900",
"telephone_number": "413-320-0877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE THERAPY SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-25",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "MILES",
"authorized_official_title_or_position": "OWNER AND CLINICIAN",
"authorized_official_telephone_number": "413-320-0877",
"authorized_official_credential": "M.ED., LICSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.