JERRELL EVANS
NPI 1053294876
Counselor in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since July 29, 2025

259 E 115TH ST, CHICAGO, IL 60628(773) 493-4100 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jerrell Evans NPPES

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

JERRELL EVANS (NPI 1053294876) is an individual counselor in Chicago, Illinois and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1053294876

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJERRELL EVANS

Location Address259 E 115TH STChicago, IL 60628-5014

Mailing Address259 E 115th StChicago, IL 60628-5014 · (773) 493-4100

Phone(773) 493-4100

Sole ProprietorNo

Enumeration DateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1053294876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

259 E 115TH ST, Chicago, IL 60628

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