Active NPI
Nathan Ryan Evans, LPCA
- Counselor
- Concord, NC
National Provider Identifier
1962947473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A12675
- Practice address
- 1030 Central Dr NW
Concord, NC 28027-4296 - Phone
- (704) 966-7988
- NPI assigned
- Dec 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A12675 | NC | Primary |
Addresses
Primary practice location
1030 Central Dr NW
Concord, NC 28027-4296
Mailing address
409 Riverglen Dr NW
Concord, NC 28027-2524
Phone (704) 966-7988
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 |
|---|---|---|---|
| A12675 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1962947473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 RIVERGLEN DR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280272524",
"telephone_number": "704-966-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 CENTRAL DR NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280274296",
"telephone_number": "704-966-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "NATHAN",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-20",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A12675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.