Individual provider Active NPI

Kyle William McEvoy, MS, LMHC, CCMHC, LPC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1902337413
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009113 Issued in NY
Practice address
302 5TH Ave Ste 1102
New York, NY 10001-3604
Phone
(631) 682-7741
NPI assigned
Mar 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 006466 CT
Professional Counselor 101YP2500X 37PC00904500 NJ
Mental Health Counselor 101YM0800X 009113 NY Primary

Addresses

Primary practice location

302 5TH Ave Ste 1102
New York, NY 10001-3604

Mailing address

302 5TH Ave Ste 1102
New York, NY 10001-3604
Phone (631) 682-7741

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
Master of Science

State licenses

LicenseStateTypeSpecialty
37PC00904500NJMDProfessional Counselor
006466CTMDClinical Social Worker
009113NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Therapy Mental Health Counseling PC Mental Health CurrentSince Jun 7, 2020 Accepting new patients
Kyle McEvoy Mental Health Counseling PC CurrentSince Feb 23, 2025 Accepting new patients

Locations

136 Madison Ave
Fl 5
New York, NY 10016
Phone (212) 828-7473

515 Madison Ave
Frnt 2
New York, NY 10022

515 Madison Ave
New York, NY 10022
Phone (212) 675-2997

302 5th Ave
Ste 1102
New York, NY 10001
Phone (631) 682-7741

302 5th Ave
Fl 8
New York, NY 10001
Phone (646) 979-0905

Organizations & group practices 2

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": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1902337413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 5TH AVE STE 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013604",
            "telephone_number": "631-682-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 5TH AVE STE 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013604",
            "telephone_number": "631-682-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "KYLE",
        "middle_name": "WILLIAM",
        "credential": "MS, LMHC, CCMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "006466",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00904500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.