KENNETH LEE EVANS


Address: 711 S Muskogee Ave, Tahlequah, OK 74464-4717
Phone: 9182070078

KENNETH LEE EVANS (NPI# 1144629163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144629163
Entity Type Individual
Full Name KENNETH LEE EVANS
Practice Address 711 S Muskogee Ave
Tahlequah
OK 74464-4717
Mailing Address 1304 S Willey St
Fort Gibson
OK 74434-7813
Practice Telephone 9182070078
Mailing Telephone 4054452009
Enumeration Date 2014-08-14
Last Update Date 2014-08-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers KENNETH EVANS

NPI Name Taxonomy Address Enumeration
1043546971 Kenneth Evans Case Manager/Care Coordinator 637 Royal Ave, Midwest City, OK 73130-2710 2009-10-28
1114967288 Kenneth Evans Family Medicine 8821 W 6th Ave, Stillwater, OK 74074-1094 2006-06-07
1679573422 Kenneth C Evans Family Medicine 515 E Carolina Ave, Hartsville, SC 29550-4311 2005-07-22
1801314778 Kenneth Evans Case Manager/Care Coordinator 109 S Harrill Ave, Wagoner, OK 74467-5317 2017-08-31
1194168013 Kenneth D Evans Audiologist 3000 15th Ave S, Great Falls, MT 59405-5240 2013-04-10
1184972721 Kenneth Evans Counselor 1333 Iris Ave, Boulder, CO 80304-2226 2012-08-28
1144431651 Kenneth Wynne Evans Family Medicine 1015 Charlevoix Dr, Grand Ledge, MI 48837-2278 2007-05-25
1023158839 Kenneth R Evans Marriage & Family Therapist 275 Beck Ave, Fairfield, CA 94533 2007-02-08

Office Location

Street Address 711 S MUSKOGEE AVE
City TAHLEQUAH
State OK
Zip Code 74464-4717

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043331499 Creoks Mental Health Services Community/Behavioral Health 711 S Muskogee Ave, Tahlequah, OK 74464-4717 2007-04-03
1902403702 Millissa Kae Robinson Peer Specialist 711 S Muskogee Ave, Tahlequah, OK 74464-4717 2020-10-05
1154947919 Jennifer Ann Ruppel Case Manager/Care Coordinator 711 S Muskogee Ave, Tahlequah, OK 74464-4717 2020-06-17
1982238457 Dawn Johnson Counselor 711 S Muskogee Ave, Tahlequah, OK 74464-4717 2020-02-24
1043850829 Corey A Thornton Counselor 711 S Muskogee Ave, Tahlequah, OK 74464-4717 2020-01-09
1336785211 Cortnie Cox Case Manager/Care Coordinator 711 S Muskogee Ave, Tahlequah, OK 74464-4717 2019-11-26
1851940324 Christian Denell Riley Behavioral Analyst 711 S Muskogee Ave, Tahlequah, OK 74464-4717 2019-09-08
1134776008 Martha J Smith Registered Nurse 711 S Muskogee Ave, Tahlequah, OK 74464-4717 2019-08-24
1700349883 Heather Marie Askew Peer Specialist 711 S Muskogee Ave, Tahlequah, OK 74464-4717 2019-04-07
1124589395 Ashlee Kay Morton Case Manager/Care Coordinator 711 S Muskogee Ave, Tahlequah, OK 74464-4717 2019-03-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184253403 Kendall Harris Student in an Organized Health Care Education/Training Program 100 Bliss Ave, Tahlequah, OK 74464 2020-04-07
1528609302 Norma Brightly Technician 103 Sequoyah, Tahlequah, OK 74464 2019-10-03
1073175832 Jody Lynn Dallis Case Manager/Care Coordinator Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 2019-07-02
1184287849 Perry Jake Proctor Student in an Organized Health Care Education/Training Program 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 2019-04-18
1336657279 Sidney Sheyenne Kimble Case Manager/Care Coordinator 1429 Jack Brown Lane, Tahlequah, OK 74464 2018-01-12
1891225686 Nichols Bradley Alberty Orthotist 1294 East Downing, Suite 3, Tahlequah, OK 74464 2017-06-14
1922549690 Krystal Easter Ms, Lpc Counselor 2201 Oakridge Dr, Tahlequah, OK 74464 2017-03-15
1144777319 Northeastern Oklahoma Community Health Centers, Inc. Clinic/Center 529 N. Oak St., Tahlequah, OK 74464 2016-09-06
1548713456 Clement Isioma Nwadozi Optometrist 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 2016-07-27
1033532635 Wesley Gragg Specialist/Technologist 603 North Grand Avenue, Tahlequah, OK 74464 2014-02-03
Find all providers in zip 74464

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417340647 Mark Throckmorton Counselor 701 S Muskogee Ave, Tahlequah, OK 74464-4717 2015-03-12
1558762534 Keri Ross Counselor 428 N Ash Ave, Tahlequah, OK 74464-2902 2014-09-10
1811316003 Holistic Therapies LLC Counselor 18950 S 525 Rd, Tahlequah, OK 74464-0519 2014-04-15
1689912560 Karla Leblanc Counselor 108 S Muskogee Ave Ste 203, Tahlequah, OK 74464-3818 2013-01-28
1194075267 Shannon Dawson Counselor 205 S J.t Stites, Tahlequah, OK 74464-2915 2012-09-14
1629340203 Jennifer O'daniel Counselor 1595 Aspen Dr, Tahlequah, OK 74464-6009 2012-01-30
1750653457 Kellie Christine Brown Counselor 643 Green Country Dr, Tahlequah, OK 74464-6002 2012-01-27
1710258074 Charlotte Marie Parker Counselor 14041 N Britton Rd, Tahlequah, OK 74464-5062 2012-01-18
1558632059 Gayla Burgess Anderson Counselor 822 S Muskogee Ave, Tahlequah, OK 74464-4720 2012-01-16
1336410943 Lindsey Beth Amason Counselor 17882 W Grandview Rd, Tahlequah, OK 74464-1013 2012-01-13
Find all providers in TAHLEQUAH

Competitor

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City TAHLEQUAH
Zip Code 74464

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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