Jarrett Lamont Evans, LCMHC, LCAS-A, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12879 Issued in NC

Practice address

Xxxxxx
Charlotte, NC 28262-8797

Phone

(704) 649-7347

NPI assigned

Apr 1, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revision Counseling and Wellness, PLLC.

  • Professional Counselor
  • Charlotte, NC
  • NPI 1528794914
  NPD Authorized official

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

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1881126456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 RIDGEWAY PARK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772989",
            "telephone_number": "704-649-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "XXXXXX",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628797",
            "telephone_number": "704-649-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JARRETT",
        "middle_name": "LAMONT",
        "name_prefix": "Mr.",
        "credential": "LCMHC, LCAS-A, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-01",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12879",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Leigh Evans, D.D.S., M.S.
• Dena Evans
• Erica Cherie Evans, MD
• Heather Evans
• Jamelle Evans, ATC
• Jean Caroline Evans, PA
• Jean Ellen Evans, M.A.
• Jessica Evans
• Jianna Bernadette Evans
• John W Evans Jr., MD

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.