Evolve Adoption and Family Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EVOLVE ADOPTION AND FAMILY SERVICES

Practice address

5850 Omaha Ave N
Stillwater, MN 55082-6330

Phone

(651) 439-2446

Fax

(651) 439-2071

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Boner

Title

Program Manager

Phone

(651) 439-2446

Specialties & licenses 1

Addresses

Other names 1

• EVOLVE Family Services Doing business as

Locations

Practitioners 2

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

• Samantha A Barr, LICSW

  • Clinical Social Worker
  • Stillwater, MN
  • NPI 1801223136
  NPD (past)
• Jessica Marie Olson, MSW,LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1740828573
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1821652892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 OMAHA AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826330",
            "telephone_number": "651-439-2446",
            "fax_number": "651-439-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 OMAHA AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826330",
            "telephone_number": "651-439-2446",
            "fax_number": "651-439-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE ADOPTION AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "BONER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "651-439-2446"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVOLVE Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Joan Eshleman, D.D.S
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• River-Jeanette Monique Ezeoke, CPRS
• F.I.T. Chiropractic
• Lindsay J. Fahrner, MD
• Kiana Lee Fall

• Mental Health Clinic/Center (Including Community Mental Health Center) in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.