EVERGREEN COUNSELING CENTER (NPI# 1972083368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972083368 |
| Entity Type | Organization |
| Organization Name | EVERGREEN COUNSELING CENTER |
| Practice Address |
20a Beech St Carlisle PA 17013-3105 |
| Mailing Address |
18608 Wilderness Way Hagerstown MD 21740-3123 |
| Practice Telephone | 8142443072 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | KELLY SULT (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 7176580885 |
| Authorized Official Credential | MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
PC007703 | PA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073594776 | Evergreen Counseling Center | Counselor | 23777 County Road 125, Bedias, TX 77831-3373 | 2005-11-09 |
| 1306982434 | Evergreen Counseling Center | Clinic/Center | 205 8th St, Hoquiam, WA 98550-2507 | 2007-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Evergreen Counseling Center | 1202 Bergen Pkwy, Suite 200, Evergreen, CO 80439 |
| Street Address |
20A BEECH ST |
| City | CARLISLE |
| State | PA |
| Zip Code | 17013-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225272669 | Cynthia Gail Sniscak | Counselor | 20a Beech St, Carlisle, PA 17013-3105 | 2009-04-29 |
| 1336748649 | Gina Witte | Counselor | 20a Beech St, Carlisle, PA 17013-3105 | 2020-10-19 |
| 1447890082 | Paws and Play LLC | Social Worker | 20a Beech St, Carlisle, PA 17013-3105 | 2020-01-12 |
| 1457582330 | Beech Street Program, LLC | Counselor | 20a Beech St, Carlisle, PA 17013-3105 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820749 | David B. Killian, Dmd, PC | Clinic/Center | 305 S. Hanover Street, Carlisle, PA 17013 | 2020-08-06 |
| 1922578400 | Nicole Gift | Physical Therapy Assistant | Claremont Nursing and Rehab Center, 1000 Claremont Road, Carlisle, PA 17013 | 2018-11-28 |
| 1841713542 | Christine Brehm-stroman | Dental Hygienist | 197 Acre Dr, Carlisle, PA 17013 | 2017-07-25 |
| 1316317050 | Delyara Mamedova | Social Worker | 800 Belvedere Street, Carlisle, PA 17013 | 2015-10-06 |
| 1033596200 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 841 Sumner Road, Bldg. 844, Carlisle Barracks, PA 17013 | 2015-04-27 |
| 1881010809 | Rachel Albright | Social Worker | 401 East Louther St, Suite 219, Carlisle, PA 17013 | 2014-03-14 |
| 1386071363 | Leslie Gail Carr | Registered Nurse | 100 N. Hanover St., Sadler Health Center - Nurse - Family Partnership, Carlisle, PA 17013 | 2013-10-04 |
| 1447518022 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Building 844 Main Exchange, Carlisle Barracks, PA 17013 | 2012-05-02 |
| 1407114309 | Elizabeth Robinson | Pharmacist | 302 York Road, Carlisle, PA 17013 | 2012-04-27 |
| 1639435530 | Bruce Kugler Storms | Social Worker | 406 E. Old York Road, Carlisle, PA 17013 | 2012-04-04 |
| Find all providers in zip 17013 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386677029 | Uhs of Pennsylvania, Inc | Clinic/Center | 401 E Louther St, Suite 213, Carlisle, PA 17013-2657 | 2006-07-08 |
| 1720028798 | New Vista of The Bluegrass Inc | Clinic/Center | 101 W Chestnut St, Carlisle, KY 40311-1167 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437092 | Northeast Counseling Service | Clinic/Center | 109 W Green St, Nanticoke, PA 18634-2212 | 2020-11-06 |
| 1356949663 | Christina Robidoux, Lpc | Clinic/Center | 321 Pine St Ste 207-208, Williamsport, PA 17701-6561 | 2020-10-09 |
| 1447857800 | Simple Healing LLC | Clinic/Center | 11 W 2nd St Unit 305, Bethlehem, PA 18015-1294 | 2020-10-07 |
| 1629683693 | Sunshine Counseling, LLC | Clinic/Center | 1093 Douglass Dr Apt A, Boyertown, PA 19512-7620 | 2020-09-15 |
| 1619582533 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 749 South St, Laporte, PA 18626-7019 | 2020-09-09 |
| 1023623956 | Sunshine Healing & Counseling | Clinic/Center | 328 Summit Ave Ste 120, Jenkintown, PA 19046-3134 | 2020-09-08 |
| 1376153940 | Nami Erie County Pa | Clinic/Center | 1611 Peach St Ste 218, Erie, PA 16501-2121 | 2020-08-07 |
| 1376161919 | Bryan Bass-riley Licensed Professional Counselor, LLC | Clinic/Center | 3825 Northern Pike Ste 202, Monroeville, PA 15146-2161 | 2020-07-09 |
| 1053937664 | Theosis Therapeutic Counseling | Clinic/Center | 982 E Pine St, Palmyra, PA 17078-2821 | 2020-06-19 |
| 1366065633 | Let's Talk Counseling, LLC | Clinic/Center | 510 Springfield Rd, Aldan, PA 19018-4227 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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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.