NPIMap

Organization Active NPI

Evolve Talk Therapy

  • Social Worker
  • Pearland, TX
National Provider Identifier
1780082453
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
36630 Issued in TX
Legal business name
EVOLVE TALK THERAPY
Practice address
1139 W Brompton Dr
Pearland, TX 77584-2203
Phone
(832) 724-7095
NPI assigned
Dec 12, 2014
Last updated
Dec 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Toni McKenzie, LCSW
Title
Owner
Phone
(832) 724-7095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 36630 TX Primary

Addresses

Primary practice location

1139 W Brompton Dr
Pearland, TX 77584-2203

Mailing address

1139 W Brompton Dr
Pearland, TX 77584-2203
Phone (832) 724-7095

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1780082453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 W BROMPTON DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842203",
            "telephone_number": "832-724-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 W BROMPTON DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842203",
            "telephone_number": "832-724-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE TALK THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-724-7095",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "36630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.