EVERGREEN COACHING AND COUNSELING, INC. – Counseling Psychologist, NPI 1649743360

EVERGREEN COACHING AND COUNSELING, INC. is a healthcare provider. based in Champaign, Illinois. specializing in Counseling Psychologist. The NPI Number for EVERGREEN COACHING AND COUNSELING, INC. is 1649743360

Main info

Organization
Name
EVERGREEN COACHING AND COUNSELING, INC.
NPI
1649743360
Phone
(217) 714-7042
Address
701 DEVONSHIRE DR STE C53
Authorized Official
DR. JONATHAN WILLIAM THOMAS-STAGG PRESIDENT/PSYCHOLOGIST PH.D.
Enumeration Date
4 January 2019
Last Update Date
22 August 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for EVERGREEN COACHING AND COUNSELING, INC.

  • Devonshire Drive, Champaign, Champaign County, Illinois, 61821, United States

    CHAMPAIGN, IL 618207361

    Phone: (217) 714-7042

    Type: Mailing

  • 411 E PARK ST STE 106

    CHAMPAIGN, IL 618203862

    Phone: (217) 714-7042

    Fax: (866) 216-6514

    Type: Location

  • 411 E PARK ST

    CHAMPAIGN, IL 618203841

    Phone: (217) 714-7042

    Fax: (866) 216-6514

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 61820)

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Reviews

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Frequently asked questions

Is there an official ID for EVERGREEN COACHING AND COUNSELING, INC. in U.S. healthcare records?
The official identifier for EVERGREEN COACHING AND COUNSELING, INC. is NPI 1649743360.
Is EVERGREEN COACHING AND COUNSELING, INC. shown as active in public data?
Registry records indicate EVERGREEN COACHING AND COUNSELING, INC. maintains an active NPI.
What expertise is attributed to EVERGREEN COACHING AND COUNSELING, INC.?
EVERGREEN COACHING AND COUNSELING, INC.'s specialty line reads Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Where in Illinois is EVERGREEN COACHING AND COUNSELING, INC. registered?
Use Champaign, Illinois as the headline location for EVERGREEN COACHING AND COUNSELING, INC. here.
When was this NPI issued?
Enumeration for EVERGREEN COACHING AND COUNSELING, INC. is noted as January 4, 2019 where the registry provides it.

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