Organization Active NPI

Judith Evans, M.Ed.,LPC,LPCS,PLLC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1821262619
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16944 Issued in TX
Legal business name
JUDITH EVANS, M.ED.,LPC,LPCS,PLLC
Practice address
2707 Airport Fwy
Sute 215
Fort Worth, TX 76111-2389
Phone
(817) 480-8703
Fax
(817) 350-4720
NPI assigned
Apr 14, 2008
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Ms. Judith K. Evans, LPCNPI 1982615936
Title
Owner
Phone
(817) 480-8703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 16944 TX Primary

Addresses

Primary practice location

2707 Airport Fwy
Sute 215
Fort Worth, TX 76111-2389

Mailing address

2707 Airport Fwy
Suite215
Fort Worth, TX 76111-2389
Phone (817) 480-8703

Other identifiers 1

IdentifierTypeStateIssuer
1671521MedicaidTX

National Provider Directory

National Provider Directory

Locations

2707 Airport Fwy
Ste 215
Fort Worth, TX 76111
Phone (817) 480-8703

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1821262619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 AIRPORT FWY",
            "address_2": "SUITE215",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112389",
            "telephone_number": "817-480-8703",
            "fax_number": "817-350-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 AIRPORT FWY",
            "address_2": "SUTE 215",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112389",
            "telephone_number": "817-480-8703",
            "fax_number": "817-350-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH EVANS, M.ED.,LPC,LPCS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-480-8703",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1671521",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.