EVOLVE PSYCHIATRY AND COUNSELING PLLC
NPI 1245921964
Nurse Practitioner - Psychiatric/Mental Health in South Portland, ME
About Evolve Psychiatry And Counseling Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVOLVE PSYCHIATRY AND COUNSELING PLLC (NPI 1245921964) is a healthcare organization registered as a psychiatric/mental health in South Portland, Maine and active in the NPI registry since May 2023. The organization maintains a secondary practice location in Milford and lists Paula A Gentile, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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 Psychiatry And Counseling Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Evolve Psychiatry And Counseling PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Psychiatry And Counseling PLLC's NPI number?
The NPI number for Evolve Psychiatry And Counseling PLLC is 1245921964. It was assigned to this organization in the NPPES registry on May 15, 2023.
Where is Evolve Psychiatry And Counseling PLLC located?
Evolve Psychiatry And Counseling PLLC is located at 111 Simmons Rd, South Portland, ME 04106. The listed phone number is (207) 272-5647.
What is Evolve Psychiatry And Counseling PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Evolve Psychiatry And Counseling PLLC enrolled in Medicare?
Yes. Evolve Psychiatry And Counseling PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evolve Psychiatry And Counseling PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Evolve Psychiatry And Counseling PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Evolve Psychiatry And Counseling PLLC was last updated on May 15, 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.
# Evolve Psychiatry And Counseling Pllc · NPI 1245921964
Psychiatric/Mental Health organization in South Portland, Maine. Organization record, active in the CMS NPPES registry since May 15, 2023.
## Identity
- **NPI:** 1245921964 (Entity type: Organization)
- **Enumerated:** May 15, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Paula Gentile, OWNER
## Practice location
- **Address:** 111 SIMMONS RD, South Portland, ME 04106-6509
- **Phone:** (207) 272-5647
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245921964) · Data from the CMS NPPES public registry.