Active NPI
Shavon Renee Evans
- Addiction (Substance Use Disorder) Counselor
- Euclid, OH
National Provider Identifier
1952013682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 25000 Euclid Ave Ste 305
Euclid, OH 44117-2646 - Phone
- (216) 213-1137
- NPI assigned
- Dec 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 4672943 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
25000 Euclid Ave Ste 305
Euclid, OH 44117-2646
Mailing address
25000 Euclid Ave Ste 305
Euclid, OH 44117-2646
Phone (216) 213-1137
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 |
|---|---|---|---|
| 4672943 | OH | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1952013682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25000 EUCLID AVE STE 305",
"city": "EUCLID",
"state": "OH",
"postal_code": "441172646",
"telephone_number": "216-213-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25000 EUCLID AVE STE 305",
"city": "EUCLID",
"state": "OH",
"postal_code": "441172646",
"telephone_number": "216-213-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SHAVON",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "4672943",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.