MEDICARE: KANEISHA S EVANS LCMHCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-30196	NC
2	101YM0800X	Mental Health Counselor	20209	NC

General Provider Information

NPI Number	:	1700617644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANEISHA S EVANS LCMHCA

Provider Business Mailing Address
First Line	:	2530 MERIDIAN PKWY STE 300
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-5273
Country	:	US
Telephone Number	:	833-532-7552
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 MERIDIAN PKWY STE 300
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-5273
Country	:	US
Telephone Number	:	833-532-7553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2024
Last Update Date	:	04/24/2026

Similar Medicare Providers

1528901667 — EXPRESS CARE TRANSPORT LLC
Practice Location Address:

2530 MERIDIAN PKWY STE 300
DURHAM, NC
27713-5273

Practice Phone: 919-907-1262
Practice Fax:

1457408866 — MS. ELISABETH HAYES HARGROVE MSW, MPH, LCSW
Practice Location Address:

2530 MERIDIAN PKWY STE 115
DURHAM, NC
27713-5273

Practice Phone: 704-360-3637
Practice Fax: 855-857-7333

1972755973 — MEAGHAN KEARNS M.S., CCC-SLP
Practice Location Address:

2530 MERIDIAN PKWY STE 300
DURHAM, NC
27713-5273

Practice Phone: 512-399-0064
Practice Fax:

1528204179 — HEART SONG WILSON MSW, LCSW
Practice Location Address:

2530 MERIDIAN PKWY STE 115
DURHAM, NC
27713-5273

Practice Phone: 704-360-3637
Practice Fax:

1093012031 — DR. SHANNA AMANDA JEFFERSON MSW,CFSW,LCSW
Practice Location Address:

2530 MERIDIAN PKWY STE 300
DURHAM, NC
27713-5273

Practice Phone: 919-794-5284
Practice Fax: 866-923-0754

1427334309 — T & I CONSULTANT SERVICES
Practice Location Address:

2530 MERIDIAN PKWY STE 300
DURHAM, NC
27713-5273

Practice Phone: 919-606-1707
Practice Fax:

Directions to “ KANEISHA S EVANS LCMHCA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.