MS. JENNIE EVANS LPC
NPI 1720629298
Counselor - Professional in Augusta, GA

Q: What is Jennie Evans's NPI number?

The NPI number for Jennie Evans is 1720629298. It was assigned to this individual provider in the NPPES registry on October 4, 2019.

Q: What is Jennie Evans's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jennie Evans was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 04, 2019PECOS Enrolled

1631 GORDON HWY STE 17A, AUGUSTA, GA 30906(706) 230-7006(762) 257-7442 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2024, Apr 3, 2024, Oct 4, 2019 (3 updates tracked since 2019).

On this page

About Ms. Jennie Evans Lpc NPPES

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

MS. JENNIE EVANS LPC (NPI 1720629298) is an individual professional provider in Augusta, Georgia, licensed in Georgia (LPC010831) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720629298

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. JENNIE EVANSCredential: LPC

Location Address1631 GORDON HWY STE 17AAugusta, GA 30906-2229

Mailing AddressPo Box 740015Atlanta, GA 30374-0015 · (312) 733-9730 · Fax (773) 866-8014

Phone(706) 230-7006

Fax(762) 257-7442

Sole ProprietorNo

Enumeration DateOctober 4, 2019

Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1720629298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC010831

1631 GORDON HWY STE 17A, Augusta, GA 30906

Open in Google Maps ↗

Secondary Practice Locations 2

Location 175 Boland CirSparta, GA 31087-2007 · Phone (706) 444-1037 · Fax (706) 444-1034

Location 21263 Moreland Ave SEAtlanta, GA 30316-3183 · Phone (470) 444-3137 · Fax (470) 202-3003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennie Evans Lpc 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.

Medicare Billing Reassignments

Medicare enrollment records show Jennie Evans reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christopher Dennis MD PLLC

131 mi

Psychiatry

11340 LAKEFIELD DR STE 200
Johns Creek, GA 30097

Reassigned Medicare billing, Georgia enrollment
137 clinicians in this Medicare group

NPI 1588090229 (800) 275-3243

Lifesource Of North Carolina

192 mi

General Practice

1345 REDMOND CIR NW
Rome, GA 30165

Reassigned Medicare billing, Georgia enrollment
92 clinicians in this Medicare group

NPI 1962940817 (910) 742-9243

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

17 services14 patients

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.

COLBY ANN GONZALES

Nurse Practitioner (Family)