Evelyn Farias, MA, EDM, APCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC8075 Issued in CA

Practice address

1350 Dell Ave Ste 104
Campbell, CA 95008-6619

Phone

(408) 430-3689

NPI assigned

Aug 17, 2021

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1902572217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N 1ST ST STE G",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082033",
            "telephone_number": "831-293-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 DELL AVE STE 104",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086619",
            "telephone_number": "408-430-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIAS",
        "first_name": "EVELYN",
        "credential": "MA, EDM, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC8075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Campbell, CA
• Providers in Campbell, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.