JERROLD MAX EVINGTON
NPI 1063786515
Counselor in Yadkinville, NC

Active since March 01, 2012
320 E LEE AVE, YADKINVILLE, NC 27055(336) 679-8805(336) 679-3057 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerrold Max Evington NPPES

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

JERROLD MAX EVINGTON (NPI 1063786515) is an individual counselor in Yadkinville, North Carolina and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1063786515
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJERROLD MAX EVINGTON
Location Address320 E LEE AVEYadkinville, NC 27055-8132
Mailing Address284 Executive Park Dr, Suite 100Concord, NC 28025-1831 · (704) 939-1100 · Fax (704) 939-1173
Fax(336) 679-3057
Sole ProprietorNo
Enumeration DateMarch 1, 2012
Last NPPES UpdateJuly 31, 2013
NPI 1063786515 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.
320 E LEE AVE, Yadkinville, NC 27055

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
320 E LEE AVE
YADKINVILLE, NC 27055
Counselor (Professional)
320 E LEE AVE
YADKINVILLE, NC 27055
Psychiatry & Neurology (Psychiatry)
320 E LEE AVE
YADKINVILLE, NC 27055
Counselor (Mental Health)
320 E LEE AVE
YADKINVILLE, NC 27055
Counselor
320 E LEE AVE
YADKINVILLE, NC 27055
Community/Behavioral Health
320 E LEE AVE
YADKINVILLE, NC 27055
Counselor (Professional)
320 E LEE AVE
YADKINVILLE, NC 27055
Community/Behavioral Health
320 E LEE AVE
YADKINVILLE, NC 27055

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 Jerrold Evington's NPI number?

The NPI number for Jerrold Evington is 1063786515. It was assigned to this individual provider in the NPPES registry on March 1, 2012.

Where is Jerrold Evington located?

Jerrold Evington practices at 320 E Lee Ave, Yadkinville, NC 27055. The listed phone number is (336) 679-8805.

What is Jerrold Evington's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jerrold Evington was last updated on July 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.