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HOLLY ALICIA EVANS M.F.T.
NPI 1356643068
Marriage & Family Therapist in Glendale, CA

Active since December 01, 2010PECOS Enrolled
138 N BRAND BLVD, SUITE 300, GLENDALE, CA 91203(626) 808-5463 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holly Alicia Evans M.f.t. NPPES

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

HOLLY ALICIA EVANS M.F.T. (NPI 1356643068) is an individual marriage & family therapist in Glendale, California, licensed in California (MFC43133) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356643068
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameHOLLY ALICIA EVANSCredential: M.F.T.
Location Address138 N BRAND BLVD, SUITE 300Glendale, CA 91203-4614
Mailing Address138 N Brand Blvd, Suite 300Glendale, CA 91203-4614 · (626) 808-5463
Phone(626) 808-5463
Sole ProprietorYes
Enumeration DateDecember 1, 2010
Last NPPES UpdateJanuary 8, 2013
✔ NPI 1356643068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC43133
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

138 N BRAND BLVD, Glendale, CA 91203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Holly Alicia Evans M.f.t. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2026.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

DR. NANETTE DE FUENTES PH.D.
Psychologist (Clinical)
138 N BRAND BLVD, SUITE 300
GLENDALE, CA 91203
Los Angeles County (818) 548-1122
MS. CAROLINA HUETE-LEHMAN M.A., MFT
Marriage & Family Therapist
138 N BRAND BLVD, 300
GLENDALE, CA 91203
Los Angeles County (818) 545-7474
DR. LESLIE GAIL MAXSON PH.D., PSY.D
Psychologist (Clinical)
138 N BRAND BLVD, SUITE #300
GLENDALE, CA 91203
Los Angeles County (818) 956-8240
BRAND PSYCHIATRIC MEDICAL GROUP
Specialist
138 N BRAND BLVD, SUITE 303
GLENDALE, CA 91203
Los Angeles County (818) 500-9708
SIKANDRA TANK, MD, PC
Internal Medicine (Hospice and Palliative Medicine)
138 N BRAND BLVD, SUITE 200, UNIT 240
GLENDALE, CA 91203
Los Angeles County (559) 499-1233
GISELA BURQUET LMFT
Marriage & Family Therapist
138 N BRAND BLVD, SUITE 200 UNIT#272
GLENDALE, CA 91203
Los Angeles County (213) 618-1547

Frequently Asked Questions

What is Holly Evans's NPI number?

The NPI number assigned to this healthcare provider is 1356643068, enumerated as an "individual" on December 01, 2010.

Where is the provider located?

The provider is located at 138 N BRAND BLVD SUITE 300 GLENDALE, CA 91203 and the phone number is (626) 808-5463.

What is the provider's specialty?

Marriage & Family Therapist with taxonomy code 106H00000X.