Individual provider Active NPI

Shlisa Marie Evans, LPC

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1952144669
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
23928 Issued in AZ
Practice address
6151-6153 W Olive Ave
Glendale, AZ 85302-4598
Phone
(602) 685-6000
Fax
(602) 389-3599
NPI assigned
Jun 18, 2024
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 23928 AZ Primary

Addresses

Primary practice location

6151-6153 W Olive Ave
Glendale, AZ 85302-4598

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609003210 AZ Practitioner - Mental Health Counselor 3870003866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terros, Inc.Group PAC ID 8224077045, 26 clinicians

Practice addresses (Care Compare)

6151 -6153 W Olive Ave
Glendale, AZ 85302-4564
Phone (602) 389-3560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23928AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Terros Inc CurrentSince May 1, 2025 Accepting new patients
Terros, Inc. CurrentSince May 1, 2025 Accepting new patients
Terros, Inc. Current Accepting new patients
Essential Mind Therapeutic Services PLLC Mental Health PastSince Jun 1, 2024 Accepting new patients

Locations

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1952144669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151-6153 W OLIVE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024598",
            "telephone_number": "602-685-6000",
            "fax_number": "602-389-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SHLISA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "23928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.