Evolve Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVOLVE COUNSELING LLC

Practice address

24 Paoli Pike Unit B
Paoli, PA 19301-1858

Phone

(484) 329-7638

NPI assigned

Jan 20, 2023

Organization subpart

No

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

Authorized official

Name

Keeley Berry Seymour, LCSWNPI 1265824361

Title

Co-Founder

Phone

(484) 329-7638

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keeley Seymour, LCSW

  • Clinical Social Worker
  • Paoli, PA
  • NPI 1265824361
  NPD Authorized official

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1801501135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PAOLI PIKE UNIT B",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PAOLI PIKE UNIT B",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011858",
            "telephone_number": "484-329-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "KEELEY",
        "authorized_official_middle_name": "BERRY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "484-329-7638",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@evolvecounselingpa.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24 Paoli Pike Unit B",
            "city": "Paoli",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193011858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Paoli, PA
• Providers in Paoli, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.