Active NPI
Tyler Nicole Evans, BA,MA,PPS
- Counselor
- Van Nuys, CA
National Provider Identifier
1881495398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 18378
- Practice address
- 5927 Cantaloupe Ave
Van Nuys, CA 91401-4313 - Phone
- (818) 245-5352
- NPI assigned
- Mar 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 18378 | CA | Primary |
Addresses
Primary practice location
5927 Cantaloupe Ave
Van Nuys, CA 91401-4313
Mailing address
24585 Town Center Dr Apt 4104
Santa Clarita, CA 91355-1387
Phone (626) 272-5111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18378 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1881495398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24585 TOWN CENTER DR APT 4104",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913551387",
"telephone_number": "626-272-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5927 CANTALOUPE AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914014313",
"telephone_number": "818-245-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TYLER",
"middle_name": "NICOLE",
"credential": "BA,MA,PPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-20",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "18378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.