NPIMap

Organization Active NPI

Evolve Professional Counseling Services, LLC

Doing business as GreenZone Professional Counseling

  • Professional Counselor
  • Edinboro, PA
National Provider Identifier
1790368181
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EVOLVE PROFESSIONAL COUNSELING SERVICES, LLC
Doing business as
GreenZone Professional Counseling
Practice address
111 Walker Dr Unit a
Edinboro, PA 16412-2310
Phone
(814) 734-0199
Fax
(814) 734-0196
NPI assigned
May 3, 2021
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Wesley John McWilliams
Title
Owner
Phone
(814) 734-0199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

111 Walker Dr Unit a
Edinboro, PA 16412-2310

Mailing address

111 Walker Dr Unit a
Edinboro, PA 16412-2310
Phone (814) 734-0199

Other names 1

  • GreenZone Professional Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

111 Walker Dr
Unit A
Edinboro, PA 16412
Phone (814) 734-0199

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1790368181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WALKER DR UNIT A",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122310",
            "telephone_number": "814-734-0199",
            "fax_number": "814-734-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WALKER DR UNIT A",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122310",
            "telephone_number": "814-734-0199",
            "fax_number": "814-734-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PROFESSIONAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-734-0199"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GreenZone Professional Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.