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: July 19, 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
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

Accepted 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.

Counselor (Mental Health)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Counselor (Professional)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Counselor (Professional)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Counselor (Professional)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Counselor (Addiction (Substance Use Disorder))
4140 CHERRY ST
WINSTON SALEM, NC 27105
Counselor (Mental Health)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Community/Behavioral Health
4140 CHERRY ST
WINSTON SALEM, NC 27105
Social Worker (Clinical)
4140 CHERRY ST
WINSTON SALEM, NC 27105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174868848, enumerated as an "individual" on December 06, 2012.

The provider is located at 4140 CHERRY ST WINSTON SALEM, NC 27105 and the phone number is (336) 306-9620.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and Oscar Health. Please consult your insurance carrier or call the provider to verify.