Evans & Associates Psychological and Counseling Services

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

EVANS & ASSOCIATES PSYCHOLOGICAL AND COUNSELING SERVICES

Practice address

24100 Southfield Rd Ste 320a
Southfield, MI 48075-2819

Phone

(248) 722-9300

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Rachael Evans, LLP, LPCNPI 1205059201

Title

Sole Owner

Phone

(248) 722-9300

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Rachael Evans, LLP

  • Psychologist
  • Southfield, MI
  • NPI 1205059201
  Medicare reassignment NPD Authorized official
• Karen Noelle Clark, PHD

  • Psychologist
  • Southfield, MI
  • NPI 1023057924
  Medicare reassignment NPD

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1871096248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24100 SOUTHFIELD RD STE 320A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752819",
            "telephone_number": "248-722-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 SOUTHFIELD RD STE 320A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752819",
            "telephone_number": "248-722-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS & ASSOCIATES PSYCHOLOGICAL AND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "248-722-9300",
        "authorized_official_credential": "LLP,  LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etnicity LLC
• Prince Jerome Eubanks, MD
• Raylea Eubanks
• Eun-Jung P Kucway MD PLLC
• Evangelical Home Care,LLC
• Glenda Pauletta Evans, LMT
• James Evans II
• Juanita Evans, MD
• Kameron Evans
• Kayla Marie Evans

• Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.