Individual provider Active NPI

Cary Edward Evans, LPCC

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1811011752
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1232 Issued in KY
Practice address
9702 Stonestreet Rd Ste 110
Louisville, KY 40272-6812
Phone
(502) 589-8920
NPI assigned
Mar 17, 2007
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH6848 FL
Mental Health Counselor 101YM0800X 1232 KY Primary

Addresses

Primary practice location

9702 Stonestreet Rd Ste 110
Louisville, KY 40272-6812

Mailing address

9702 Stonestreet Rd Ste 100
Louisville, KY 40272-6809
Phone (502) 589-8920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102003936 KY Practitioner - Mental Health Counselor 0042660045 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH6848FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Counties Services, Inc. Counselor CurrentSince Jan 1, 2024 Accepting new patients
Adult & Adolescent Counseling Mental Health Past Accepting new patients

Locations

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

9702 Stonestreet Rd
Louisville, KY 40272
Phone (502) 588-0610

9702 Stonestreet Rd
Ste 100
Louisville, KY 40272
Phone (502) 588-0610

9702 Stonestreet Rd
Ste 110
Louisville, KY 40272
Phone 5025898920 ext. 5430

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1811011752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9702 STONESTREET RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402726809",
            "telephone_number": "502-589-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 STONESTREET RD STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402726812",
            "telephone_number": "502-589-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CARY",
        "middle_name": "EDWARD",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH6848",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.