Collette Evans

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1090 S Gilbert Rd Ste 200
Gilbert, AZ 85296-3438

Phone

(480) 504-9123

NPI assigned

Mar 4, 2026

Last updated

Mar 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mindful Bloom Counseling Services LLC

  • Mental Health Counselor
  • Gilbert, AZ
  • NPI 1518614965
  NPD (past)

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1790631646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 E PARK AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 S GILBERT RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963438",
            "telephone_number": "480-504-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36275 N Gantzel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407320",
            "country_code": "US",
            "telephone_number": "480-590-7147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "COLLETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Evancic, CNM
• Evans Surgical Associates PC
• Alison Evans, FNP-BC
• Ashley Nicole Evans, SLP
• Cameron Evans
• Irena Evans
• Jannalee Evans
• Patricia J Evans, LPN
• Robert Dale Evans, D.V.M.
• Sarah B. Evans, CRNA

• Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.