EVERGREEN COUNSELING LLC (NPI# 1831681600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831681600 |
| Entity Type | Organization |
| Organization Name | EVERGREEN COUNSELING LLC |
| Practice Address |
2100 Manchester Rd Ste 602 Wheaton IL 60187-4587 |
| Practice Telephone | 2132225079 |
| Mailing Telephone | 6304800060 |
| Mailing Fax Number | 6309812094 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | NATASHA KNOFF (PRACTICE MANAGER) |
| Authorized Official Telephone | 2132225079 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 166.001114 | IL | Behavioral Health & Social Service Providers |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285154054 | Evergreen Counseling LLC | Counselor | 1920 E 17th St Ste 240, Idaho Falls, ID 83404-8036 | 2017-06-22 |
| Street Address |
2100 MANCHESTER RD STE 602 |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-4587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857638 | Jeremy Barkev Tovmassian | Marriage & Family Therapist | 2100 Manchester Rd Ste 602, Wheaton, IL 60187-4587 | 2020-09-30 |
| 1942815899 | Inez Jaimes | Counselor | 2100 Manchester Rd Ste 602, Wheaton, IL 60187-4587 | 2020-09-08 |
| 1184263287 | Maurice Landis Dixon Jr. | Counselor | 2100 Manchester Rd Ste 602, Wheaton, IL 60187-4587 | 2020-01-06 |
| 1356980965 | Jun Zhang | Counselor | 2100 Manchester Rd Ste 602, Wheaton, IL 60187-4587 | 2019-12-30 |
| 1568004448 | Ashley Suzanne Roberts | Counselor | 2100 Manchester Rd Ste 602, Wheaton, IL 60187-4587 | 2019-10-12 |
| 1043785371 | Julia Renee Vickers | Marriage & Family Therapist | 2100 Manchester Rd Ste 602, Wheaton, IL 60187-4587 | 2018-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1790329142 | Wayne G Hill | Counselor | 1746 Trent Ct, Wheaton, IL 60189-7726 | 2019-10-29 |
| 1679039481 | Kimberly Melton Lechner | Counselor | 319 S Naperville Rd Ste 203, Wheaton, IL 60187-5462 | 2019-02-17 |
| 1184103855 | Concierge Therapy Services | Counselor | 114 N Hale St, Wheaton, IL 60187-5152 | 2018-08-13 |
| 1639671241 | Elizabeth Bodett-dresser | Counselor | 115 N Main St Apt 2, Wheaton, IL 60187-5337 | 2018-02-28 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1518330232 | Molly Ansari | Counselor | 2100 Manchester Rd Ste 400g, Wheaton, IL 60187-4593 | 2015-11-03 |
| 1952770091 | Mindy Rushford | Counselor | 208 N Erie St, Wheaton, IL 60187-4538 | 2015-09-18 |
| 1508258732 | Fireside Counseling LLC | Counselor | 101 1/2 E Front St, Suite 106, Wheaton, IL 60187-5334 | 2015-02-25 |
| Find all providers in WHEATON | ||||
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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.