Evolve Counseling and Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EVOLVE COUNSELING AND WELLNESS, LLC

Practice address

900 Haddon Ave Ste 336
Collingswood, NJ 08108-2112

Phone

(856) 495-2480

NPI assigned

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Jessica A. Charlton, LPCNPI 1790118941

Title

Owner

Phone

(856) 495-2480

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ann Charlton, MA, LPC

  • Mental Health Counselor
  • Collingswood, NJ
  • NPI 1790118941
  NPD Authorized official

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1760965297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BURRWOOD AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081081724",
            "telephone_number": "856-495-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE STE 336",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082112",
            "telephone_number": "856-495-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Burrwood Ave",
            "address_purpose": "LOCATION",
            "city": "Haddon Township",
            "state": "NJ",
            "postal_code": "081081724",
            "country_code": "US",
            "telephone_number": "856-495-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVE COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "CHARLTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-495-2480",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joanne E Engel
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• Katie Colleen Finn Rosato, M.S. CCC-SLP
• Brian Finnerty, LPC
• Joseph E Fisher, PSY.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.