VICTORIA EVANGELISTA
NPI 1326439399
Counselor in Clarkston, MI

Active since February 12, 2015PECOS Enrolled
6548 TOWN CENTER DR STE D, CLARKSTON, MI 48346(586) 244-8052 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Victoria Evangelista NPPES

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

VICTORIA EVANGELISTA (NPI 1326439399) is an individual counselor in Clarkston, Michigan, licensed in Michigan (6401019743) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1326439399
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameVICTORIA EVANGELISTA
Location Address6548 TOWN CENTER DR STE DClarkston, MI 48346-4823
Mailing Address1697 Cardiff RowSuperior Township, MI 48198-3587 · (586) 244-8052
Sole ProprietorNo
Enumeration DateFebruary 12, 2015
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
NPI 1326439399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MI · 6401019743
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401017276 (MI), 6401019743 (MI)
6548 TOWN CENTER DR STE D, Clarkston, MI 48346

Secondary Practice Location 1

Location 13300 Lansing AveJackson, MI 49202-1621 · Phone (517) 784-2929

Other Identifiers 2

Medicaid101YA0400XMI
Medicaid1326439399MI

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)

Victoria Evangelista 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 20

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

Psychologist (Clinical)
6548 TOWN CENTER DR STE D
CLARKSTON, MI 48346
Counselor
6548 TOWN CENTER DR STE D
CLARKSTON, MI 48346
Psychologist (Clinical)
6548 TOWN CENTER DR STE D
CLARKSTON, MI 48346
Counselor
6548 TOWN CENTER DR STE D
CLARKSTON, MI 48346
Counselor
6548 TOWN CENTER DR STE D
CLARKSTON, MI 48346
Social Worker
6548 TOWN CENTER DR STE D
CLARKSTON, MI 48346
Counselor
6548 TOWN CENTER DR STE D
CLARKSTON, MI 48346
Social Worker
6548 TOWN CENTER DR STE D
CLARKSTON, MI 48346

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326439399, enumerated as an "individual" on February 12, 2015.

The provider is located at 6548 TOWN CENTER DR STE D CLARKSTON, MI 48346 and the phone number is (586) 244-8052.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.