EVERGREEN COUNSELING AND CONSULTATION – NPI #1295629806
Clinic/Center

EVERGREEN COUNSELING AND CONSULTATION is an AHC clinic located in WILSONVILLE, OR. NPPES has assigned the NPI number 1295629806 to EVERGREEN COUNSELING AND CONSULTATION on June 06, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on Jun 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN COUNSELING AND CONSULTATION below.

NPI Profile for
EVERGREEN COUNSELING AND CONSULTATION

NPI Number
1295629806
Enumeration Date

(about a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERGREEN COUNSELING AND CONSULTATION
Primary location
8855 SW HOLLY LN STE 111
WILSONVILLE, OR 97070-8793
Phone: (503) 902-8431 Fax:
Mailing address
2822 WALNUT CT
HUBBARD, OR 97032-9692
Phone: (219) 669-8267 Fax:
Organization Subpart
No
Authorized Official
EVAN LAFOUNTAIN
OWNER
Phone: (219) 669-8267
Updated
Certification Date
Jun 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.