MR. SEAN DAVID EVANS (NPI# 1619126869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619126869 |
| Entity Type | Individual |
| Full Name | MR. SEAN DAVID EVANS |
| Credential | LPCC, LPC |
| Practice Address |
201 North Rd Durango CO 81303-6430 |
| Practice Telephone | 9707593878 |
| Mailing Telephone | 9707593878 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
0134831 | NM | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0012344 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 281 Sawyer Dr, Suite 100, Durango, CO 813033409 | 9703352238 | 9702475255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538465778 | Sean Gregory Evans | Pharmacist | 1250 Patrol Rd, Charlestown, IN 47111-8670 | 2011-02-06 |
| 1609332766 | Sean Evans | Behavior Technician | 4196 Douglas Blvd, Granite Bay, CA 95746-5904 | 2019-02-13 |
| 1255759494 | Sean Spencer Evans | Otolaryngology | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30322-1900 | 2014-04-04 |
| 1538390570 | Sean Eugene Evans | Psychologist | 3102 E. Highland Ave, Medical Staff Office, Patton, CA 92369 | 2009-08-06 |
| 1366503427 | Sean J Evans | Psychiatry & Neurology | 200 West Arbor Drive, Mc 8201, San Diego, CA 92103-8201 | 2006-12-13 |
| Street Address |
201 NORTH RD |
| City | DURANGO |
| State | CO |
| Zip Code | 81303-6430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870603 | Durango Surgery Center LLC | Clinic/Center | 1266 Escalante, Suite 101, Durango, CO 81303 | 2020-08-04 |
| 1659891489 | Sarah Raeghan Dessel | Behavioral Analyst | 2432 County Road 220, Durango, CO 81303 | 2017-06-22 |
| 1336546076 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 208 Parker Ave Ste C, Durango, CO 81303 | 2014-11-24 |
| 1235549361 | Brooke Hastings Cheatham | Family Medicine | 1305 Escalente Drive, Unit 205, Durango, CO 81303 | 2014-04-29 |
| 1346596855 | Kristi Deanne Stump | Registered Nurse | 281 Sawyer Drive, Durango, CO 81303 | 2012-08-02 |
| 1356643696 | Jonathan Stein Mitchell | Social Worker | 466 S. Skylane Dr., Open Sky Wilderness Therapy, Durango, CO 81303 | 2010-11-18 |
| 1295979771 | Gregory Albert Martin | Counselor | 466 South Skylane Drive, Durango, CO 81303 | 2009-04-28 |
| 1700054772 | Southwest Alternative Medical, Inc. | Family Medicine | 523-a South Camino Del Rio, Durango, CO 81303 | 2008-02-13 |
| 1316069073 | Jeffrey Yaskin | Physical Therapist | 327 S Camino Del Rio Unit 11b, Durango, CO 81303 | 2007-04-04 |
| 1023170479 | Daniel J Mcclure | Chiropractor | 523 -a S Camino Del Rio, Durango, CO 81303 | 2006-12-14 |
| Find all providers in zip 81303 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486388 | Judy Lynn Austin | Counselor | 281 Gulch Rd, Durango, CO 81303-6452 | 2020-10-31 |
| 1609489707 | Mindful Mountain Healing | Counselor | 1309 E 3rd Ave Ste B-5, Durango, CO 81301-5255 | 2020-08-28 |
| 1962024984 | Stephanie Ann Trudeaux | Counselor | 123 Linda Ct, Durango, CO 81301-3422 | 2020-05-13 |
| 1831726769 | Russ Pool Psychotherapy, LLC | Counselor | 1911 Main Ave Ste 258, Durango, CO 81301-5083 | 2020-03-23 |
| 1104328962 | Molly Beth Ahern | Counselor | 2855 Main Ave Ste B103, Durango, CO 81301-5960 | 2018-03-07 |
| 1548701352 | Liv M Mackenzie | Counselor | 128 W 14th St # B2, Durango, CO 81301-5100 | 2017-03-13 |
| 1114464013 | Kendall R. E. Smith | Counselor | 2595 County Road 203, Durango, CO 81301-6134 | 2017-01-30 |
| 1386022929 | Michael Wilkinson | Counselor | 2243 Main Ave # 4d, Durango, CO 81301-4699 | 2015-05-15 |
| 1881090157 | Tina Elliott | Counselor | 1988 County Road 205, Durango, CO 81301-6948 | 2014-11-13 |
| 1578900510 | Tara M Jackson | Counselor | 1911 Main Ave Ste 248, Durango, CO 81301-5077 | 2013-05-31 |
| Find all providers in DURANGO | ||||
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| 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.