Patricia J Evans, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2003010307 Issued in MO

Practice address

754 Bagnell Dam Blvd Ste F
Lake Ozark, MO 65049-8703

Phone

(573) 873-6014

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia J Vanfleet Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1780660258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 BAGNELL DAM BLVD STE F",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650498703",
            "telephone_number": "573-873-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 BAGNELL DAM BLVD STE F",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650498703",
            "telephone_number": "573-873-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2003010307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "VANFLEET",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Ann Duckworth
• Tiffany Duncan-Ash, LPC
• Cibele F.C. Elliott, LPC
• Embark by Calo
• Carissa Lynn Esposito, PTA
• Brian Eveland, OD
• Allison Lynn Foster
• Kelly K Frisella, O.D.
• Nicole R Fuglsang, MA, LPC
• Brenn Robert Gent, LPC

• Counselor in Lake Ozark, MO
• Providers in Lake Ozark, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.