ELIZABETH EVANS (MS, LAC) – Counselor, NPI 1629710447

ELIZABETH EVANS (MS, LAC) is a healthcare provider. based in Bradenton, Florida. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MS, LAC. They hold a License No. MFT.0002706 (CO). The NPI Number for ELIZABETH EVANS (MS, LAC) is 1629710447

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH EVANS (MS, LAC)
NPI
1629710447
Phone
(941) 592-0651
Address
11210 RANCH CREEK TER APT 402
Enumeration Date
12 April 2022
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7203166434
Graduation Year
2018 (8 years ago)
PAC ID
0840728275
Group Practice PAC ID
3870036478
Professional Enrollment ID
I20250113001385
Address ID
CO801112802GR8490XPKWY401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

208 MARRIAGE AND FAMILY THERAPIST in CO

Provider Addresses for ELIZABETH EVANS (MS, LAC)

  • 11210 RANCH CREEK TER APT 402

    BRADENTON, FL 342114020

    Phone: (941) 592-0651

    Type: Mailing

  • 6795 E TENNESSEE AVE STE 370

    DENVER, CO 802241693

    Phone: (720) 432-7571

    Type: Location

  • 2855 ROCK CREEK CIR UNIT 195

    SUPERIOR, CO 800274617

    Phone: (720) 432-7571

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250113001385IMarriage And Family TherapistCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870036478View full group profile
NameSpecialtyState
Mental Health CounselorCO
Mental Health CounselorCO
Clinical Social WorkerCO
Clinical Social WorkerMI
Mental Health CounselorCO
Clinical Social WorkerCO
Nurse PractitionerCO
Mental Health CounselorCO
Mental Health CounselorCO
Mental Health CounselorCO

Reviews

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Frequently asked questions

Can I cross-check ELIZABETH EVANS (MS, LAC) using NPI 1629710447?
NPI 1629710447 belongs to ELIZABETH EVANS (MS, LAC); compare other details if you need extra assurance.
Is ELIZABETH EVANS (MS, LAC) shown as active in public data?
Registry records indicate ELIZABETH EVANS (MS, LAC) maintains an active NPI.
What area of care is associated with ELIZABETH EVANS (MS, LAC)?
ELIZABETH EVANS (MS, LAC)'s record emphasizes Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ELIZABETH EVANS (MS, LAC)?
Travel planning: use Bradenton, Florida as the reference point for ELIZABETH EVANS (MS, LAC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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