Evolutionary Intervention LLC
NPI 1679846505 · Community/Behavioral Health Agency · Southfield, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evolutionary Intervention LLC is a Community/Behavioral Health Agency organization in Southfield, MI (NPI 1679846505).
Provider details
- NPI number
- 1679846505
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Sharon Jackson, Owner(888) 492-9386
Specialties & taxonomies
Agencies
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-02-23
- Last updated
- 2021-05-20
- Certified
- 2021-05-20
Frequently asked questions
- What is Evolutionary Intervention LLC's NPI number?
- Evolutionary Intervention LLC's National Provider Identifier (NPI) is 1679846505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evolutionary Intervention LLC?
- Evolutionary Intervention LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Evolutionary Intervention LLC located?
- Evolutionary Intervention LLC's practice location on file with NPPES is 17348 W 12 Mile Rd, Southfield, MI 48076-2120.
- What is Evolutionary Intervention LLC's phone number?
- The practice phone number listed in the NPPES registry for Evolutionary Intervention LLC is (888) 492-9386.
- Does Evolutionary Intervention LLC accept Medicare?
- Evolutionary Intervention LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evolutionary Intervention LLC?
- The authorized official listed on Evolutionary Intervention LLC's NPPES record is Sharon Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evolutionary Intervention LLC's NPI active?
- Yes — Evolutionary Intervention LLC's NPI (1679846505) is active in the NPPES registry as of the last update on 2021-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.