Amanda Marie Thomas Evans, PHD LPC NCC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

808 Main St E
Menomonie, WI 54751-2735

Phone

(715) 231-2702

Fax

(715) 232-5987

NPI assigned

Oct 1, 2010

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

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.

• County of Dunn

  dba Dunn County Department of Human Services & Adrc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menomonie, WI
  • NPI 1588667406

  Professional

  NPD (past)

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1801105341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 MAIN ST E",
            "address_2": "PO BOX 470",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512735",
            "telephone_number": "715-231-2702",
            "fax_number": "715-232-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MAIN ST E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512735",
            "telephone_number": "715-231-2702",
            "fax_number": "715-232-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS EVANS",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PHD LPC NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "925-226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Talmage, PA-C
• Heather Tanko
• Julianna Marie Tavale, MSW LCSW
• Rachael Renae Taylor
• Tara L Thiele
• Christine Marie Thompson
• Darlene Kay Thornton, P.T.
• Thrive Psychological and Consulting Services LLC
• Laura Michelle Tiffany-Draeger, CSW
• Jenny Johanna Timm, MSE

• Counseling Psychologist in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Counseling Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.