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EVERGREEN THERAPY CENTER LLC
NPI 1043828825
Clinic/Center - Mental Health (Including Community Mental Health Center) in North Liberty, IA

Active since July 17, 2020
595 ASHLEY CT STE 5, NORTH LIBERTY, IA 52317(319) 853-8762(319) 249-6875 Get Directions Write a Review

NPPES record last updated: November 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2025, Jul 17, 2020 (2 updates tracked since 2020).

About Evergreen Therapy Center Llc NPPES

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

EVERGREEN THERAPY CENTER LLC (NPI 1043828825) is a healthcare organization registered as a mental health (including community mental health center) in North Liberty, Iowa and active in the NPI registry since July 2020. The organization lists Jason Matthew Drwal, President, as its authorized official.

NPPES Registry Identity

NPI1043828825
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEVERGREEN THERAPY CENTER LLC
Location Address595 ASHLEY CT STE 5North Liberty, IA 52317-4758
Mailing Address595 Ashley Ct Ste 5North Liberty, IA 52317-4758 · (319) 853-8762 · Fax (319) 249-6875
Phone(319) 853-8762
Fax(319) 249-6875
Organization SubpartNo
Authorized OfficialJason Matthew DrwalPresident · (319) 853-8762
Enumeration DateJuly 17, 2020
Last NPPES UpdateNovember 22, 20252 updates tracked since enumeration
NPPES CertifiedNovember 22, 2025
✔ NPI 1043828825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
595 ASHLEY CT STE 5, North Liberty, IA 52317
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Other Names 1

Former Legal Business NameEvergreen Therapy Center Llc

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evergreen Therapy Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Evergreen Therapy Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Jason Drwal, PH. D.
Clinical Psychologist
NPI 1164669594
595 ASHLEY CT STE 5
North Liberty, IA 52317
(319) 853-8762
✔ PECOS✔ Accepts MedicareSame address
Natalie Quinn, LMSW
Clinical Social Worker
NPI 1982111761
1201 3RD AVE SE
Cedar Rapids, IA 52403
(319) 730-7309
✔ PECOS✔ Accepts Medicare18 mi
Julie Jack, LMFT
Marriage and Family Therapist
NPI 1356105514
375 COLLINS RD NE STE 103
Cedar Rapids, IA 52402
(319) 853-8762
✔ PECOS✔ Accepts Medicare21 mi
Mallory Markwitz, LISW, LMSW
Clinical Social Worker
NPI 1902446305
1340 BLAIRS FERRY RD
Hiawatha, IA 52233
(319) 398-6575
✔ PECOS✔ Accepts Medicare22 mi
Katie Burrell
Clinical Social Worker
NPI 1285190561
1095 N CENTER POINT RD
Hiawatha, IA 52233
(319) 369-7908
✔ PECOS✔ Accepts Medicare23 mi
Julie Peterson, LCSW
Clinical Social Worker
NPI 1619516960
1979 N MILL ST STE 202
Naperville, IL 60563
(630) 281-2496
✔ PECOS✔ Accepts Medicare178 mi

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

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 Evergreen Therapy Center LLC's NPI number?

The NPI number for Evergreen Therapy Center LLC is 1043828825. It was assigned to this organization in the NPPES registry on July 17, 2020.

Where is Evergreen Therapy Center LLC located?

Evergreen Therapy Center LLC is located at 595 Ashley Ct Ste 5, North Liberty, IA 52317. The listed phone number is (319) 853-8762.

What is Evergreen Therapy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Evergreen Therapy Center LLC enrolled in Medicare?

Yes. Evergreen Therapy Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Therapy Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Evergreen Therapy Center LLC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (4), Clinical Psychologist (1) and Marriage and Family Therapist (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evergreen Therapy Center LLC was last updated on November 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.