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MR. EVAN MCCOY POWELL LPCA, LCASA
NPI 1174868848
Counselor - Professional in Winston Salem, NC

Active since December 06, 2012PECOS Enrolled
4140 CHERRY ST, WINSTON SALEM, NC 27105(336) 306-9620(336) 245-8839 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Evan Mccoy Powell Lpca, Lcasa NPPES

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

MR. EVAN MCCOY POWELL LPCA, LCASA (NPI 1174868848) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (A11130) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174868848
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. EVAN MCCOY POWELLCredential: LPCA, LCASA
Location Address4140 CHERRY STWinston Salem, NC 27105-2536
Mailing Address4140 Cherry StWinston Salem, NC 27105-2536 · (336) 306-9620 · Fax (336) 245-8839
Phone(336) 306-9620
Fax(336) 245-8839
Sole ProprietorNo
Enumeration DateDecember 6, 2012
Last NPPES UpdateJanuary 13, 2015
✔ NPI 1174868848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A11130
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2913-A (NC)
4140 CHERRY ST, Winston Salem, NC 27105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Evan Mccoy Powell Lpca, Lcasa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

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

AMANDA GRACE CONNELLY
Counselor (Professional)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (336) 306-9620
ANGELA ADKINS LPC
Counselor (Mental Health)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (336) 306-9620
MRS. CANDICE MCDOWELL CARTNER LPC, MA, NCC
Counselor (Professional)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (828) 551-2976
SHANTEL KIMBROUGH
Counselor (Addiction (Substance Use Disorder))
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (336) 306-9620
NAKEYTA GOOLSBY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (866) 272-7826
LAUREN ANDREWS BOYETTE LCMHCA
Counselor (Mental Health)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (866) 272-7826
QUANITTA LASHAY BROOKS BSW, MSW, LCSWA
Social Worker (Clinical)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (866) 272-7826
CAMPBELL GRAY JACKSON
Social Worker (Clinical)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (866) 272-7826

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 Evan Powell's NPI number?

The NPI number for Evan Powell is 1174868848. It was assigned to this individual provider in the NPPES registry on December 6, 2012.

Where is Evan Powell located?

Evan Powell practices at 4140 Cherry St, Winston Salem, NC 27105. The listed phone number is (336) 306-9620.

What is Evan Powell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Evan Powell enrolled in Medicare?

Yes. Evan Powell is registered in the Medicare PECOS enrollment system.

What insurance does Evan Powell accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Evan Powell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evan Powell was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.