MARY K EVANS LPC, MA
NPI 1255789632
Counselor - Professional in Champaign, IL
About Mary K Evans Lpc, Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY K EVANS LPC, MA (NPI 1255789632) is an individual professional provider in Champaign, Illinois, licensed in Colorado (LPC.0015327) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary K Evans Lpc, Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Mary Evans reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Skokie, IL 60076
- Reassigned Medicare billing, Illinois enrollment
- 491 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Illinois enrollment
- 107 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Colorado enrollment
- 940 clinicians in this Medicare group
Coral Gables, FL 33134
- Reassigned Medicare billing, Colorado enrollment
- 28 clinicians in this Medicare group
San Jose, CA 95119
- Reassigned Medicare billing, Illinois enrollment
- 106 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Evans's NPI number?
The NPI number for Mary Evans is 1255789632. It was assigned to this individual provider in the NPPES registry on May 26, 2016.
Where is Mary Evans located?
Mary Evans practices at 2917 Crossing Ct Ste B1, Champaign, IL 61822. The listed phone number is (970) 690-1646.
What is Mary Evans's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mary Evans enrolled in Medicare?
Yes. Mary Evans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Evans's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Evans reassigns Medicare benefits to 5 organizations: Vitae Health Medical Illinois, PLLC (Skokie, IL), Mental Health Specialty Group PA (Durham, NC), Sondermind Provider Network LLC (Denver, CO), Sailor Health Medical PA (Coral Gables, FL) and Sondermind PC (San Jose, CA). Each 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 Mary Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Evans accept?
Health plans from Select Health list Mary Evans 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 Mary Evans was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Mary K Evans, LPC, MA · NPI 1255789632
Professional provider in Champaign, Illinois. Individual provider, active in the CMS NPPES registry since May 26, 2016.
## Identity
- **NPI:** 1255789632 (Entity type: Individual)
- **Enumerated:** May 26, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC.0015327 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 2917 CROSSING CT STE B1, Champaign, IL 61822-6185
- **Phone:** (970) 690-1646
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Vitae Health Medical Illinois, PLLC (NPI 1174013452, Skokie, IL); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC); Sondermind Provider Network LLC (NPI 1760854442, Denver, CO); Sailor Health Medical PA (NPI 1841012960, Coral Gables, FL); Sondermind PC (NPI 1003646977, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** July 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255789632) · Data from the CMS NPPES public registry.