Evergreen Center for Counseling, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVERGREEN CENTER FOR COUNSELING, INC

Practice address

1135 W Cherry Ave
Selmer, TN 38375-5001

Phone

(731) 645-8813

Fax

(731) 645-8814

NPI assigned

Jun 15, 2005

Last updated

Aug 22, 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

John R Reeves, MSWNPI 1568467751

Title

President

Phone

(731) 645-8813

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• John R Reeves, MSW

  • Clinical Social Worker
  • Robins AFB, GA
  • NPI 1568467751
  NPD (past) Authorized official
• Terri Lynn Hoag, LICSW

  • Clinical Social Worker
  • Mobile, AL
  • NPI 1477580504
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861497059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W CHERRY AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383755001",
            "telephone_number": "731-645-8813",
            "fax_number": "731-645-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W CHERRY AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383755001",
            "telephone_number": "731-645-8813",
            "fax_number": "731-645-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN CENTER FOR COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-645-8813",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Joseph J. Driscoll, O.D.
• Joseph J. Driscoll, O.D.
• Megan Dunaway
• William Andrew Eason, M.D.
• Preston Parker Embrey, PA
• Evolve Counseling, PLLC
• Family Clinic of Selmer, PC
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic, PLLC
• Julia M Fields, APRN, PMHNP-BC

• Mental Health Counselor in Selmer, TN
• Providers in Selmer, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.