Evolution Counseling Suite LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EVOLUTION COUNSELING SUITE LLC

Practice address

8 Campus Dr Ste 105
Parsippany, NJ 07054-4409

Phone

(201) 279-1967

NPI assigned

Mar 22, 2024

Last updated

Aug 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robyn Wilson, LCSWNPI 1356933766

Title

Owner/Ceo/Principal Psychotherapist

Phone

(201) 279-1967

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robyn Wilson, LCSW

  • Clinical Social Worker
  • Parsippany, NJ
  • NPI 1356933766

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723248000000",
    "number": "1982454146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074070277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CAMPUS DR STE 105",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544409",
            "telephone_number": "201-279-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION COUNSELING SUITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "OWNER/CEO/PRINCIPAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "201-279-1967",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ji Hun Eun, L.AC
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• Omowumi M Fashola

• Clinical Social Worker in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.