Organization · Type 2 NPI

Evergreen Coaching and Counseling, Inc.

Clinical Psychologist · Champaign, IL

NPI number 1649743360 Active

Practice location

411 E Park St Ste 106
Champaign, IL 61820-3862

Fax (855) 216-6514

Other practice locations

  • 913 Lake Land Blvd, Mattoon, IL 61938-5521 · (217) 714-7042
  • 2206 Eastland Dr Ste 101, Bloomington, IL 61704-7742 · (217) 714-7042
  • 3001 Spring Mill Dr Ste F, Springfield, IL 62704-6599 · (217) 714-7042
  • 4900 N Glen Park Place Rd Ste B, Peoria, IL 61614-4685 · (217) 714-7042
  • 919 W Kirby Ave Ste 1E, Champaign, IL 61821-5123 · (217) 714-7042
  • 2201 Eastland Dr Ste 4, Bloomington, IL 61704-7923 · (217) 714-7042

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Psychologist Primary 103TC0700XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Nurse Practitioner 363L00000XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

23 other providers at this address

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About NPI 1649743360

Evergreen Coaching and Counseling, Inc.'s National Provider Identifier is 1649743360, issued on Jan 4, 2019. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Champaign, IL. The record was last updated on Sep 8, 2026.