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 22 months 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: August 02, 2026.

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

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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, maintains 2 additional practice locations, and is a graduate of Other (2012).

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

Medical School CMSOtherGraduated 2012

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

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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., CareSource.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)

Ms. Jennie Evans Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820448871

PECOS Enrollment IDI20240103001528

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.

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 7

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

COLBY ANN GONZALES

Nurse Practitioner (Family)