NPIMap

Organization Active NPI

Evans Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Coopersburg, PA
National Provider Identifier
1952727489
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CW014556 Issued in PA
Legal business name
EVANS COUNSELING SERVICES, LLC
Practice address
124 S Main St
Coopersburg, PA 18036-1913
Phone
(610) 282-5735
NPI assigned
Mar 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Dr. Heather R Evans, DSW, LCSWNPI 1659476372
Title
Director
Phone
(610) 282-5735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CW014556 PA Primary

Addresses

Primary practice location

124 S Main St
Coopersburg, PA 18036-1913

Mailing address

124 S Main St
Coopersburg, PA 18036-1913
Phone (610) 282-5735

Other identifiers 1

IdentifierTypeStateIssuer
1952727489OtherPAGROUP NPI

Other names 2

  • Evans Counseling Services Doing business as
  • Heather R Evans Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224000178 PA Part B Supplier - Clinic/Group Practice 2163837261 Receives reassigned benefits from 5 practitioners
Practice locations: Coopersburg, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1952727489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361913",
            "telephone_number": "610-282-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361913",
            "telephone_number": "610-282-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2021-02-16",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-282-5735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "CW014556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1952727489",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heather R Evans",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coopersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.