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

Nicole Ophelia Evans

Individual provider Mental Health Counselor · NPI 1568169894

Nicole Ophelia Evans is a Mental Health Counselor in Melville, New York. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

555 Broadhollow Rd
Melville, NY 11747-5078
Phone: (631) 505-2961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (NY)

Record details

NPI number1568169894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2023
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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