Individual provider Active NPI

Kara Courtney Evans, LSW

  • Mental Health Counselor
  • Lancaster, OH
National Provider Identifier
1902105828
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S-31514 Issued in OH
Practice address
1434 Collins Rd NW
Lancaster, OH 43130-8815
Phone
(740) 277-7963
Fax
(740) 277-6089
NPI assigned
Mar 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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 S-31514 OH Primary

Addresses

Primary practice location

1434 Collins Rd NW
Lancaster, OH 43130-8815

Mailing address

1434 Collins Rd NW
Lancaster, OH 43130-8815
Phone (740) 277-7963

Other practice location 1

1592 Granville Pike
Lancaster, OH 43130
Phone (740) 687-0835

Other identifiers 1

IdentifierTypeStateIssuer
0285834MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
S-31514OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1902105828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 COLLINS RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308815",
            "telephone_number": "740-277-7963",
            "fax_number": "740-277-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 COLLINS RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308815",
            "telephone_number": "740-277-7963",
            "fax_number": "740-277-6089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1592 Granville Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "43130",
            "country_code": "US",
            "telephone_number": "740-687-0835",
            "fax_number": "740-687-9391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KARA",
        "middle_name": "COURTNEY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S-31514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285834",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.