Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Psychological Services, LLC

Organization Mental Health Counselor · NPI 1639615206

Evergreen Psychological Services, LLC is a Mental Health Counselor in Zionsville, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1155 Parkway Dr Ste 200
Zionsville, IN 46077-8541
Phone: (317) 520-4650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20042335A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 39001948A (IN)

Record details

NPI number1639615206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Young — Vice President/Business Administrat · (317) 520-4650
NPI enumeratedJanuary 6, 2017
Last updated in NPPESApril 11, 2017
Mailing address1155 Parkway Dr. Ste 200, Zionsville, IN 46077-8541

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