Active NPI
Debbrena Evans
- Mental Health Counselor
- Fishers, IN
National Provider Identifier
1770128332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 12575 Majestic Way
Fishers, IN 46037-5976 - Phone
- (269) 228-6052
- NPI assigned
- Nov 7, 2019
- Last updated
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
12575 Majestic Way
Fishers, IN 46037-5976
Mailing address
12575 Majestic Way
Fishers, IN 46037-5976
Phone (269) 228-6052
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Horizons LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Fishers, IN
- NPI 1427692045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1770128332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12575 MAJESTIC WAY",
"city": "FISHERS",
"state": "IN",
"postal_code": "460375976",
"telephone_number": "269-228-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12575 MAJESTIC WAY",
"city": "FISHERS",
"state": "IN",
"postal_code": "460375976",
"telephone_number": "269-228-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DEBBRENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishers, IN
- Eva Management LLC (Crossroads Chiropractic)
- Lauren Evanoff, MSW, LCSW
- Allison Elizabeth Evans, PHARMD, MBA, RPH
- Briteya Evans
- David J. Evans, D.C.
- Evolving Forward LLC
- Evolving Mind Integrative Psychiatry LLC
- Excellence Chiropractic & Wellness, LLC (AlignLife of Fishers)
- Exhale Therapy and Wellness
- Eyemart Express LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.