Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
JOSEPH OTHELLO EVANS
NPI 1154908200
Counselor - Mental Health in Concord, NC
Active since March 25, 2021
About Joseph Othello Evans NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH OTHELLO EVANS (NPI 1154908200) is an individual mental health provider in Concord, North Carolina, licensed in North Carolina (A20180) and active in the NPI registry since March 2021.
NPPES Registry Identity
NPI1154908200
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOSEPH OTHELLO EVANS
Location Address156 MADISON AVE NEConcord, NC 28025-3222
Mailing Address156 Madison Ave NeConcord, NC 28025-3222 · (336) 858-6862
Phone(336) 858-6862
Sole ProprietorNo
Enumeration DateMarch 25, 2021
Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1154908200 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A20180
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-29928 (NC)
156 MADISON AVE NE, Concord, NC 28025
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154908200, enumerated as an "individual" on March 25, 2021.
The provider is located at 156 MADISON AVE NE CONCORD, NC 28025 and the phone number is (336) 858-6862.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.
