Evolve Counseling & Wellness LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6452 Issued in MA

Legal business name

EVOLVE COUNSELING & WELLNESS LLC

Practice address

800 W Cummings Park Ste 5400
Woburn, MA 01801-6385

Phone

(781) 281-2348

Fax

(781) 281-2643

NPI assigned

Aug 8, 2018

Last updated

Jun 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Rancourt, LMHC, LADCNPI 1356409171

Title

Owner, LMHC, Ladc

Phone

(781) 281-2348

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Deborah Jean Rancourt, MA

  • Mental Health Counselor
  • Woburn, MA
  • NPI 1356409171

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1811476153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 WALNUT ST STE 104",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601639",
            "telephone_number": "617-244-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 5400",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016385",
            "telephone_number": "781-281-2348",
            "fax_number": "781-281-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE COUNSELING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "RANCOURT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER, LMHC, LADC",
        "authorized_official_telephone_number": "781-281-2348",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "6452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Essman
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• Addiction (Substance Use Disorder) Counselor in Woburn, MA
• Providers in Woburn, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.