EVOLUTION MENTAL HEALTH COUNSELING PLLC
NPI 1447962329
Counselor - Mental Health in Johnson City, NY

Active since December 22, 2022
15 RIVERSIDE DR, JOHNSON CITY, NY 13790(607) 217-4170 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2025, Dec 22, 2022 (2 updates tracked since 2022).

About Evolution Mental Health Counseling Pllc NPPES

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

EVOLUTION MENTAL HEALTH COUNSELING PLLC (NPI 1447962329) is a healthcare organization registered as a mental health in Johnson City, New York and active in the NPI registry since December 2022. The organization lists Eli Iskandar Kassis, Owner, as its authorized official.

NPPES Registry Identity

NPI1447962329
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEVOLUTION MENTAL HEALTH COUNSELING PLLC
Location Address15 RIVERSIDE DRJohnson City, NY 13790-2742
Mailing Address15 Riverside DrJohnson City, NY 13790-2742 · (607) 217-4170
Organization SubpartNo
Authorized OfficialEli Iskandar KassisOwner · (607) 217-4170
Enumeration DateDecember 22, 2022
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
NPI 1447962329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
15 RIVERSIDE DR, Johnson City, NY 13790

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Medical)
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Clinic/Center (Medical Specialty)
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Physician Assistant
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Otolaryngology
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Counselor (Mental Health)
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Counselor
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Counselor (Mental Health)
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Counselor (Mental Health)
15 RIVERSIDE DR
JOHNSON CITY, NY 13790

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447962329, enumerated as an "organization" on December 22, 2022.

The provider is located at 15 RIVERSIDE DR JOHNSON CITY, NY 13790 and the phone number is (607) 217-4170.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.