Evergreen Mental Health LLC
NPI 1740715622 · Psychiatric/Mental Health Nurse Practitioner · Liberty Lake, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Mental Health LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Liberty Lake, WA (NPI 1740715622).
Provider details
- NPI number
- 1740715622
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Regina Davis, Owner(509) 992-4224
- License
- AP60654992 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2017-04-27
- Last updated
- 2019-03-19
Frequently asked questions
- What is Evergreen Mental Health LLC's NPI number?
- Evergreen Mental Health LLC's National Provider Identifier (NPI) is 1740715622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Mental Health LLC?
- Evergreen Mental Health LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Evergreen Mental Health LLC located?
- Evergreen Mental Health LLC's practice location on file with NPPES is 23403 E Mission Ave Ste 200i, Liberty Lake, WA 99019-7575.
- What is Evergreen Mental Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Mental Health LLC is (509) 992-4224.
- Does Evergreen Mental Health LLC accept Medicare?
- Evergreen Mental Health 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 Evergreen Mental Health LLC?
- The authorized official listed on Evergreen Mental Health LLC's NPPES record is Regina Davis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Mental Health LLC's NPI active?
- Yes — Evergreen Mental Health LLC's NPI (1740715622) is active in the NPPES registry as of the last update on 2019-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.