Individual provider Active NPI

Tona Lynn Evans, LADC-CCS

  • Addiction (Substance Use Disorder) Counselor
  • Bangor, ME
National Provider Identifier
1912027558
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LC 1492 Issued in ME
Practice address
970 Illinois Ave
Bangor, ME 04401-2722
Phone
(207) 945-4240
Fax
(207) 990-3660
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC 1492 ME Primary
School Counselor 101YS0200X LC 1492 ME

Addresses

Primary practice location

970 Illinois Ave
Bangor, ME 04401-2722

Mailing address

95 Essex St
Bangor, ME 04401-5372
Phone (207) 945-4240

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
LC 1492MEMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Care Development of Maine Past Accepting new patients

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1912027558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ESSEX ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015372",
            "telephone_number": "207-945-4240",
            "fax_number": "207-990-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 ILLINOIS AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012722",
            "telephone_number": "207-945-4240",
            "fax_number": "207-990-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TONA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LADC-CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC 1492",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "ME",
            "license": "LC 1492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.