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EVOLUTIONARY INTERVENTION LLC
NPI 1679846505
Community/Behavioral Health in Southfield, MI

Active since February 23, 2012
17348 W 12 MILE RD, SUITE 106, SOUTHFIELD, MI 48076(888) 492-9386(888) 492-9386 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2021, Mar 10, 2021 (2 updates tracked since 2021).

About Evolutionary Intervention Llc NPPES

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

EVOLUTIONARY INTERVENTION LLC (NPI 1679846505) is a healthcare organization registered as a community/behavioral health in Southfield, Michigan and active in the NPI registry since February 2012. The organization lists Sharon C Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1679846505
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEVOLUTIONARY INTERVENTION LLC
Location Address17348 W 12 MILE RD, SUITE 106Southfield, MI 48076-2120
Mailing AddressPo Box 760224Lathrup Village, MI 48076-0224
Phone(888) 492-9386
Fax(888) 492-9386
Organization SubpartNo
Authorized OfficialSharon C JacksonOwner · (888) 492-9386
Enumeration DateFebruary 23, 2012
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1679846505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
17348 W 12 MILE RD, Southfield, MI 48076
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolutionary Intervention Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Evolutionary Intervention LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Tonya Pittman
Clinical Social Worker
NPI 1154095123
17348 W 12 MILE RD STE 106
Southfield, MI 48076
(888) 492-9386
✔ PECOSSame address
Sharon Windfrey, PH.D.
Mental Health Counselor
NPI 1245402668
17348 W. 12 MILE RD SUITE 106
Southfield, MI 48076
(888) 492-9386
✔ PECOS0.1 mi
Evon Foster, LMSW
Clinical Social Worker
NPI 1104121185
18516 ARCHDALE ST
Detroit, MI 48235
(313) 850-7818
✔ PECOS5.3 mi
Jasmine Wilson
Mental Health Counselor
NPI 1215578745
17515 W 9 MILE RD STE 975
Southfield, MI 48075
(248) 521-5051
✔ PECOS✔ Accepts Medicare12 mi
Chakiara Payne
Mental Health Counselor
NPI 1184348989
6309 MACK AVE
Detroit, MI 48207
(313) 331-3435
✔ PECOS14 mi
Sharon Rutledge, LMSW
Clinical Social Worker
NPI 1891852687
3534 DICKERSON ST
Detroit, MI 48215
(313) 492-2745
✔ PECOS✔ Accepts Medicare15 mi
Janet Okagbue-Reaves, LMSW
Clinical Social Worker
NPI 1427270354
32 N WASHINGTON ST SUITE 2
Ypsilanti, MI 48197
(734) 660-0661
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evolutionary Intervention LLC's NPI number?

The NPI number for Evolutionary Intervention LLC is 1679846505. It was assigned to this organization in the NPPES registry on February 23, 2012.

Where is Evolutionary Intervention LLC located?

Evolutionary Intervention LLC is located at 17348 W 12 Mile Rd Suite 106, Southfield, MI 48076. The listed phone number is (888) 492-9386.

What is Evolutionary Intervention LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Evolutionary Intervention LLC enrolled in Medicare?

Yes. Evolutionary Intervention LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolutionary Intervention LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Evolutionary Intervention LLC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (4) and Mental Health Counselor (3). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Evolutionary Intervention LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Evolutionary Intervention LLC 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 Evolutionary Intervention LLC was last updated on May 20, 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.