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EVOLVE LIFE CENTERS IOP LLC
NPI 1124735717
Clinic/Center - Rehabilitation, Substance Use Disorder in Pasadena, MD

Active since November 02, 2022CLIA Certified · 2 labs
4231 POSTAL CT STE 201, PASADENA, MD 21122(443) 548-3733(410) 360-1675 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2023, Mar 24, 2023, Jan 30, 2023 and 2 more (5 updates tracked since 2022).

About Evolve Life Centers Iop Llc NPPES

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

EVOLVE LIFE CENTERS IOP LLC (NPI 1124735717) is a healthcare organization registered as a rehabilitation, substance use disorder in Pasadena, Maryland and active in the NPI registry since November 2022. The organization holds 2 active CLIA laboratory certificates and lists Jessie Costley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124735717
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameEVOLVE LIFE CENTERS IOP LLC
Location Address4231 POSTAL CT STE 201Pasadena, MD 21122-4474
Mailing Address2528 Mountain Rd Ste 204Pasadena, MD 21122-7204 · (443) 548-3733 · Fax (410) 360-1675
Phone(443) 548-3733
Fax(410) 360-1675
Organization SubpartYesParent: Evolve Life Centers Iop, Llc
Authorized OfficialJessie CostleyAdministrator · (443) 548-3733
Enumeration DateNovember 2, 2022
Last NPPES UpdateJune 6, 20235 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1124735717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
4231 POSTAL CT STE 201, Pasadena, MD 21122
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Other Identifiers 1

Medicaid200319801MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolve Life Centers Iop Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Evolve Life Centers Iop LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Adrienne Burrell, LMSW
Clinical Social Worker
NPI 1073206835
2528 MOUNTAIN RD STE 102-204
Pasadena, MD 21122
(443) 548-3733
✔ PECOS✔ Accepts Medicare1.8 mi
Tetyana Evans, PMHNP
Nurse Practitioner
NPI 1285927723
2528 MOUNTAIN RD STE 102-204
Pasadena, MD 21122
(443) 839-6928
✔ PECOS1.8 mi
Shaneeta Reaves, LCPC
Mental Health Counselor
NPI 1538639992
877 BALTIMORE ANNAPOLIS BLVD STE 312
Severna Park, MD 21146
(410) 315-9350
✔ PECOS4.2 mi
Terrill Mcknight, LGPC
Mental Health Counselor
NPI 1245869148
636 RAVENWOOD DR
Glen Burnie, MD 21060
(443) 529-7140
✔ PECOS4.5 mi
Oluwatoyin Ottun, DNP, FNP-C, PMHNP-BC
Nurse Practitioner
NPI 1790171296
810 BESTGATE RD STE 325
Annapolis, MD 21401
(443) 906-3506
✔ PECOS8.7 mi
Rashidat Odeyale, NURSE PRACTITIONER
Nurse Practitioner
NPI 1972077295
388 GAMBRILLS RD UNIT 618
Gambrills, MD 21054
(240) 927-0957
✔ PECOS✔ Accepts Medicare9.1 mi
Blessing Iwuh
Nurse Practitioner
NPI 1093113474
300 E MADISON ST
Baltimore, MD 21202
(412) 937-8590
✔ PECOS13 mi
Amanda Cipriani, LCSW-C
Clinical Social Worker
NPI 1194120758
225 TOWN SQUARE DR STE 3
Lusby, MD 20657
(410) 231-0488
✔ PECOS52 mi
Belinda Hester, NURSE PRACTITIONER
Nurse Practitioner
NPI 1972943322
72 GREENE ST
Cumberland, MD 21502
(301) 331-0000
✔ PECOS✔ Accepts Medicare126 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2146177

Evolve Life Centers Iop, LLC · Pasadena, MD
Active · expires Mar 22, 2028
CLIA Number21D2146177
Laboratory TypeIop Substance Abuse
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorOluwatoyin Adekeye
Laboratory Phone(443) 548-3733
Laboratory LocationEvolve Life Centers Iop, LLC2528 Mountain Road Suite 204, Pasadena, MD 21122
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2280777

Evolve Life Centers Iop, LLC · Pasadena, MD
Active · expires Apr 25, 2027
CLIA Number21D2280777
Laboratory TypeOutpatient Sud Facility
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorOluwatoyin H. Adekeye
Laboratory Phone(443) 548-3733
Laboratory LocationEvolve Life Centers Iop, LLC4231 Postal Ct #201, Pasadena, MD 21122
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Evolve Life Centers Iop LLC's NPI number?

The NPI number for Evolve Life Centers Iop LLC is 1124735717. It was assigned to this organization in the NPPES registry on November 2, 2022.

Where is Evolve Life Centers Iop LLC located?

Evolve Life Centers Iop LLC is located at 4231 Postal Ct Ste 201, Pasadena, MD 21122. The listed phone number is (443) 548-3733.

What is Evolve Life Centers Iop LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Evolve Life Centers Iop LLC enrolled in Medicare?

Yes. Evolve Life Centers Iop LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolve Life Centers Iop LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Evolve Life Centers Iop 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 Nurse Practitioner (5), Clinical Social Worker (2) and Mental Health Counselor (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Evolve Life Centers Iop LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Evolve Life Centers Iop LLC was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.