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EVERGREEN THERAPY SERVICES-LLC
NPI 1720656135
Social Worker - Clinical in Great Bend, KS

Active since June 12, 2021
1819 11TH ST, GREAT BEND, KS 67530(785) 483-9183 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 3, 2021, Jun 12, 2021 (2 updates tracked since 2021).

About Evergreen Therapy Services-llc NPPES

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

EVERGREEN THERAPY SERVICES-LLC (NPI 1720656135) is a healthcare organization registered as a clinical in Great Bend, Kansas and active in the NPI registry since June 2021. The organization lists Pamela M Middleton, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1720656135
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEVERGREEN THERAPY SERVICES-LLC
Location Address1819 11TH STGreat Bend, KS 67530-4511
Mailing Address1819 11th StGreat Bend, KS 67530-4511 · (785) 483-9183
Phone(785) 483-9183
Organization SubpartNo
Authorized OfficialPamela M MiddletonClinical Social Worker · (785) 483-9183
Enumeration DateJune 12, 2021
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
✔ NPI 1720656135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1819 11TH ST, Great Bend, KS 67530
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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)

Evergreen Therapy Services-llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evergreen Therapy Services-LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pamela Middleton, LSCSW
Clinical Social Worker
NPI 1457702912
1819 11TH ST
Great Bend, KS 67530
(785) 483-9183
✔ PECOS✔ Accepts MedicareSame address

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 Evergreen Therapy Services-Llc's NPI number?

The NPI number for Evergreen Therapy Services-Llc is 1720656135. It was assigned to this organization in the NPPES registry on June 12, 2021.

Where is Evergreen Therapy Services-Llc located?

Evergreen Therapy Services-Llc is located at 1819 11th St, Great Bend, KS 67530. The listed phone number is (785) 483-9183.

What is Evergreen Therapy Services-Llc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Evergreen Therapy Services-Llc enrolled in Medicare?

Yes. Evergreen Therapy Services-Llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Therapy Services-Llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Evergreen Therapy Services-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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Evergreen Therapy Services-Llc accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Evergreen Therapy Services-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 Evergreen Therapy Services-Llc was last updated on August 3, 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.