Evolved Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EVOLVED COUNSELING

Practice address

8814 Talon Ridge Dr
Louisville, KY 40229-6648

Phone

(502) 689-9952

Fax

(502) 632-1432

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Sanders

Title

Credentialing Administrator

Phone

(502) 630-2036

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Tricia R Metcalf, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1063756088
  NPD
• Stephanie Walker, LPCC

  • Mental Health Counselor
  • Louisville, KY
  • NPI 1922668367
  NPD

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1972129591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 TALON RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402296648",
            "telephone_number": "502-689-9952",
            "fax_number": "502-632-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 TALON RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402296648",
            "telephone_number": "502-689-9952",
            "fax_number": "502-632-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVED COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "502-630-2036",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100339200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everstead Ventures, LLC
• Everwell Chiropractic
• Elizabeth Evola, PHARM D
• Evolve Community Consulting
• Evolve Lou Counseling
• Jenny Ewen
• Lisa Ewen
• Adrienne Ewing-Roush
• Brooke R Ewing, OTD, OTR/L
• Elexis Ewing

• Community/Behavioral Health Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.