Active NPI
Evan Matthew Thompson, CSW
- Social Worker
- Baden, PA
National Provider Identifier
1992214753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13725464-3502
- Practice address
- 270 Ohio River Blvd Ste B
Baden, PA 15005-1914 - Phone
- (724) 242-5685
- Fax
- (724) 242-5688
- NPI assigned
- Sep 25, 2017
- Last updated
- Feb 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13725464-3502 | UT | |
| Social Worker | 104100000X | 13725464-3502 | UT | Primary |
| Social Worker | 104100000X | SW133712 | PA |
Addresses
Primary practice location
270 Ohio River Blvd Ste B
Baden, PA 15005-1914
Mailing address
1607 3Rd St
Beaver, PA 15009-2420
Phone (724) 728-8400
Other practice location 1
172 E 14075 S Ste 110
Draper, UT 84020-5725
Phone (801) 899-0732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912106782 | Medicaid | PA |
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 |
|---|---|---|---|
| 13725464-3502 | UT | MD | Mental Health Counselor |
| SW133712 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascendant Behavioral Health LLC | Past | Accepting new patients | |
| Western Pennsylvania Psych Care, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Beaver, PA
- NPI 1912106782
-
dba Ascendant Behavioral Health DBA LifeStance
- Clinical Social Worker
- Murray, UT
- NPI 1689128605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1992214753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 3RD ST",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092420",
"telephone_number": "724-728-8400",
"fax_number": "724-728-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 OHIO RIVER BLVD STE B",
"city": "BADEN",
"state": "PA",
"postal_code": "150051914",
"telephone_number": "724-242-5685",
"fax_number": "724-242-5688"
}
],
"practiceLocations": [
{
"address_1": "172 E 14075 S Ste 110",
"address_purpose": "LOCATION",
"city": "Draper",
"state": "UT",
"postal_code": "840205725",
"country_code": "US",
"telephone_number": "801-899-0732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "EVAN",
"middle_name": "MATTHEW",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-25",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "13725464-3502",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "13725464-3502",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133712",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912106782",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baden, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.