Janine Renee Evans, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

14082 Issued in TX

Practice address

104 W Myrtle St
Suite 224
Angleton, TX 77515-4400

Phone

(979) 848-6760

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• The Gulf Coast Center

  • Psychiatry Physician
  • League City, TX
  • NPI 1245285899
  Medicare reassignment NPD
• The Gulf Coast Center

  • Mental Health Counselor
  • League City, TX
  • NPI 1538202270
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1962540815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W MYRTLE ST",
            "address_2": "SUITE 224",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154400",
            "telephone_number": "979-848-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MYRTLE ST",
            "address_2": "SUITE 224",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154400",
            "telephone_number": "979-848-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JANINE",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "14082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "84643L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Broadway Pharmacy LLC
• Peter F. Edemekong, MD, MPH
• Godwin Onwordi Elumelu
• John K Erskine, RPH
• Nora Etheridge
• Family Practice Associates of Angleton
• Kayla Faria, MSN, APRN, FNP-C
• Christina Farley, COTA
• Helen H Feltman, P.T., C.F.T.
• Brenda Fleshman, D.D.S.

• Counselor in Angleton, TX
• Providers in Angleton, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.