=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609793132
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAYLYN EVANS LPC, RPT, NCC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2026
-----------------------------------------------------
Last Update Date | 07/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3006 BEE CAVES RD STE D-205
-----------------------------------------------------
City | ROLLINGWOOD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78746-5588
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-790-4342
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1317 MEADOWSOUTH LN
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78748-2320
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-749-4390
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 84207
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------