Evolve Counseling Collective LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EVOLVE COUNSELING COLLECTIVE LLC

Practice address

1624 Bonforte Blvd Ste D
Pueblo, CO 81001-1680

Phone

(719) 671-2546

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Christy TurnerNPI 1245061639

Title

Owner

Phone

(719) 671-2546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 2

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

• Christy Rene Turner, LAC, LSW

  • Clinical Social Worker
  • Pueblo, CO
  • NPI 1245061639
  Medicare reassignment NPD Authorized official
• Martin James Pearce-Vasquez, B.S.

  • Clinical Social Worker
  • Lamar, CO
  • NPI 1700136363
  Medicare reassignment NPD

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1962221887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 LONGWOOD AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041040",
            "telephone_number": "719-671-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 BONFORTE BLVD STE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011680",
            "telephone_number": "719-671-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE COUNSELING COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-671-2546"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Eveatt
• Jill D Even, LMT, CNMT
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• Dawn Leslie Evert, NP
• Lynne M Evetts, NP
• Excellence in Dentistry of Pueblo One PLLC
• Eye Associates of Colorado Springs, PC
• Eye Care of Colorado, P.C.
• Eyemart Express LLC
• Eyemart Express, LTD.

• Clinical Social Worker in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.