✓ Licensed & Credentialed Counselor (101Y00000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

EVERGREEN COUNSELING LLC (NPI #1841085388)

Counselor • BURBANK, OH • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1841085388
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
101Y00000X
Licensed & Credentialed Counselor
Box 32 Service Location & ZIP+4
24 NORTH FRONT ST., BURBANK, OH, 44214
Official NPPES Practice Location
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1841085388 (EVERGREEN COUNSELING LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1841085388 (NPI-2 Organization / Facility)
Provider / Legal NameEVERGREEN COUNSELING LLC
Plain-English SpecialtyLicensed & Credentialed Counselor
NUCC Code: 101Y00000X (Counselor)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address24 NORTH FRONT ST., BURBANK, OH, 44214
Practice Telephone / FaxTel: (330) 887-2231
Administrative Mailing Address14744 FRANCHESTER RD, WEST SALEM, OH, 44287-9511
Enumeration & Last SyncEnumerated: 2025-04-14 | CMS Record Updated: 2026-02-03
Authorized OfficialALLISON WOLFERD (Owner/Clinician)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

24 NORTH FRONT ST., BURBANK, OH, 44214

🗺️ Open in Google Maps 🏥 More Providers in BURBANK

Plain-English Taxonomy & CMS Crosswalk (101Y00000X)

What Does Taxonomy Code 101Y00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101Y00000X translates to:
"Licensed & Credentialed Counselor"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (EVERGREEN COUNSELING LLC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
104100000X — Social Worker
Plain English: Licensed & Credentialed Social Worker
State: N/A | License: Verified | Primary: Secondary
101Y00000X — Counselor
Plain English: Licensed & Credentialed Counselor
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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