Active NPI
Rachel Erin Evans, LCSW
- Social Worker
- Fort Carson, CO
National Provider Identifier
1932595238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9094598-3502
- Practice address
- Embedded Behavioral Health Team 3
1364 Barkeley Ave. BLDG 1150
Fort Carson, CO 80913 - Phone
- (719) 503-7836
- NPI assigned
- Apr 13, 2015
- Last updated
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 9094598-3502 | UT | Primary |
Addresses
Primary practice location
Embedded Behavioral Health Team 3
1364 Barkeley Ave. BLDG 1150
Fort Carson, CO 80913
Mailing address
Embedded Behavioral Health Team 3
1364 Barkeley Ave. BLDG 1150
Fort Carson, CO 80913
Phone (719) 503-7863
Other practice location 1
3180 Stillwater Dr Ste A
Prescott, AZ 86305-7151
Phone (928) 778-3469 ext. 5540
Other practice location 2
1364 Barkeley Ave
Bldg 1150
Fort Carson, CO 80913
Other practice location 3
1364 Barkeley Ave
Bldg 1150
Fort Carson, CO 80913
Other practice location 4
5284 S Commerce Dr Ste C134
Murray, UT 84107-5360
Phone (801) 266-4643
Other practice location 5
Ebh 2
4th Armored Division Road
Fort Drum, NY 13602
Phone (315) 772-6760
Other practice location 6
Embedded Behavioral Health Team 3
1364 Barkeley Ave. Bldg 1150
Fort Carson, CO 80913
Other practice location 7
Embedded Behavioral Health Team 3
1364 Barkeley Ave. Bldg 1150
Fort Carson, CO 80913
Other practice location 8
Embedded Behavioral Health Team 3
1364 Barkeley Ave. Bldg 1150
Fort Carson, CO 80913
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9094598-3502 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1932595238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EMBEDDED BEHAVIORAL HEALTH TEAM 3",
"address_2": "1364 BARKELEY AVE. BLDG 1150",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-503-7863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMBEDDED BEHAVIORAL HEALTH TEAM 3",
"address_2": "1364 BARKELEY AVE. BLDG 1150",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-503-7836"
}
],
"practiceLocations": [
{
"address_1": "3180 Stillwater Dr Ste A",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863057151",
"country_code": "US",
"telephone_number": "928-778-3469 x5540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1364 Barkeley Ave",
"address_2": "Bldg 1150",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "80913",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1364 Barkeley Ave",
"address_2": "Bldg 1150",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "80913",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5284 S Commerce Dr Ste C134",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "UT",
"postal_code": "841075360",
"country_code": "US",
"telephone_number": "801-266-4643",
"fax_number": "801-266-4775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "EBH 2",
"address_2": "4th Armored Division Road",
"address_purpose": "LOCATION",
"city": "Fort Drum",
"state": "NY",
"postal_code": "13602",
"country_code": "US",
"telephone_number": "315-772-6760",
"fax_number": "315-772-6803",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Embedded Behavioral Health Team 3",
"address_2": "1364 Barkeley Ave. Bldg 1150",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "80913",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Embedded Behavioral Health Team 3",
"address_2": "1364 Barkeley Ave. Bldg 1150",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "80913",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Embedded Behavioral Health Team 3",
"address_2": "1364 Barkeley Ave. Bldg 1150",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "80913",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "RACHEL",
"middle_name": "ERIN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2022-02-08",
"certification_date": "2022-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "9094598-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.