Individual provider Active NPI

Evelyn Olivo

  • Mental Health Counselor
  • Yonkers, NY
National Provider Identifier
1891293049
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008456 Issued in NY
Practice address
377 N Broadway Ste L2L
Yonkers, NY 10701-2062
Phone
(469) 257-3500
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008456 NY Primary

Addresses

Primary practice location

377 N Broadway Ste L2L
Yonkers, NY 10701-2062

Mailing address

377 N Broadway Ste L2L
Yonkers, NY 10701-2062
Phone (469) 257-3500

Other practice location 1

5805 Metropolitan Ave
Ridgewood, NY 11385-8329
Phone (469) 257-3500

Other names 1

  • Evelyn Jimenez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240221002631 FL Practitioner - Mental Health Counselor 6305280090
I20240224000099 NY Practitioner - Mental Health Counselor 6305280090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008456NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evelyn Olivo Mental Health Counseling PLLC Mental Health Current Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1891293049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 N BROADWAY STE L2L",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012062",
            "telephone_number": "469-257-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 N BROADWAY STE L2L",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012062",
            "telephone_number": "469-257-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5805 Metropolitan Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113858329",
            "country_code": "US",
            "telephone_number": "469-257-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVO",
        "first_name": "EVELYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "JIMENEZ",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.