Organization Active NPI

Evolve Within Child & Adult Therapy, Inc.

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1891592929
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EVOLVE WITHIN CHILD & ADULT THERAPY, INC.
Practice address
2503 Eastbluff Dr Ste 201a
Newport Beach, CA 92660-3550
Phone
(949) 229-1325
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Andrea StokkeNPI 1942879168
Title
Vice President & Secretary
Phone
(949) 229-1325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2503 Eastbluff Dr Ste 201a
Newport Beach, CA 92660-3550

Mailing address

2503 Eastbluff Dr Ste 201a
Newport Beach, CA 92660-3550

National Provider Directory

National Provider Directory

Locations

2503 Eastbluff Dr
Ste 201A
Newport Beach, CA 92660
Phone (949) 229-1325

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1891592929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 EASTBLUFF DR STE 201A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 EASTBLUFF DR STE 201A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603550",
            "telephone_number": "949-229-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE WITHIN CHILD & ADULT THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "STOKKE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "949-229-1325"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.