EVAN MICHAEL LAFOUNTAIN
NPI 1285204511
Counselor - Mental Health in Salem, OR

Active since June 29, 2021PECOS Enrolled
805 LIBERTY ST NE STE 2, SALEM, OR 97301(219) 669-8267 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Michael Lafountain NPPES

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

EVAN MICHAEL LAFOUNTAIN (NPI 1285204511) is an individual mental health provider in Salem, Oregon and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1285204511
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEVAN MICHAEL LAFOUNTAIN
Location Address805 LIBERTY ST NE STE 2Salem, OR 97301-2463
Mailing Address2822 Walnut CtHubbard, OR 97032-9692 · (219) 669-8267
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 29, 2021
NPPES CertifiedJune 8, 2021
NPI 1285204511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
805 LIBERTY ST NE STE 2, Salem, OR 97301

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)

Evan Michael Lafountain is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799292603
PECOS Enrollment IDI20250725003955
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 20

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

Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Counselor (Professional)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Counselor
805 LIBERTY ST NE STE 2
SALEM, OR 97301
Counselor (Mental Health)
805 LIBERTY ST NE STE 2
SALEM, OR 97301

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 Lafountain's NPI number?

The NPI number for Evan Lafountain is 1285204511. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Evan Lafountain located?

Evan Lafountain practices at 805 Liberty St NE Ste 2, Salem, OR 97301. The listed phone number is (219) 669-8267.

What is Evan Lafountain's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Evan Lafountain enrolled in Medicare?

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

What insurance does Evan Lafountain accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Evan Lafountain 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 Lafountain was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.