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J. KELLIE YOUNG EVANS LCSW,CSTOP
NPI 1033273560
Social Worker - Clinical in Portsmouth, VA

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
1805 AIRLINE BLVD, PORTSMOUTH, VA 23707(757) 397-2121(757) 399-3316 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About J. Kellie Young Evans Lcsw,cstop NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

J. KELLIE YOUNG EVANS LCSW,CSTOP (NPI 1033273560) is an individual clinical provider in Portsmouth, Virginia and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1033273560
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJ. KELLIE YOUNG EVANSCredential: LCSW,CSTOP
Location Address1805 AIRLINE BLVDPortsmouth, VA 23707-3912
Mailing Address1805 Airline BlvdPortsmouth, VA 23707-3912 · (757) 397-2121 · Fax (757) 399-3316
Phone(757) 397-2121
Fax(757) 399-3316
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033273560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1805 AIRLINE BLVD, Portsmouth, VA 23707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

J. Kellie Young Evans Lcsw,cstop is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840601480
PECOS Enrollment IDI20201202003102
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show J. Kellie Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
153 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Virginia enrollment
  • 128 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUART RUARK LCSW
Social Worker (Clinical)
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707
Portsmouth City (757) 397-2121
MRS. ANGELA DENISE SIMMONS QMHP-A
Case Manager/Care Coordinator
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707
Portsmouth City (757) 337-3478
JENNIFER MAGNESS POPE MSW, LMHP-S
Social Worker (Clinical)
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707
Portsmouth City (757) 337-3557
ANDREA LONG LPC
Counselor (Professional)
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707
Portsmouth City (757) 397-2121
DR. PAULA VERONICA BOULWARE-BROWN PSY.D
Psychologist (Clinical)
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707
Portsmouth City (757) 397-2121
MRS. SHAWN LINETTE WARE-AVANT LPC
Counselor (Professional)
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707
Portsmouth City (757) 397-2121
CHILD AND FAMILY SERVICES OF EASTERN VIRGINIA
Counselor (Mental Health)
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707
Portsmouth City (757) 397-2121
KARLA D ADKINS MA, CSAC, LPC
Counselor (Addiction (Substance Use Disorder))
1805 AIRLINE BLVD
PORTSMOUTH, VA 23707
Portsmouth City (757) 397-2121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J. Kellie Evans's NPI number?

The NPI number for J. Kellie Evans is 1033273560. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is J. Kellie Evans located?

J. Kellie Evans practices at 1805 Airline Blvd, Portsmouth, VA 23707. The listed phone number is (757) 397-2121.

What is J. Kellie Evans's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is J. Kellie Evans enrolled in Medicare?

Yes. J. Kellie Evans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for J. Kellie Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), J. Kellie Evans reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for J. Kellie Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does J. Kellie Evans accept?

Health plans from Oscar Health and UnitedHealthcare list J. Kellie Evans as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for J. Kellie Evans was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.