Evolve Life Centers Iop LLC
Evolve Life Centers Iop LLC is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Pasadena, MD, holding Type 2 (organization) NPI 1851838643 since 2017. The authorized official on file is Jessie Costley, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1851838643 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Evolve Life Centers Iop LLC |
| Practice address | 2528 MOUNTAIN RD, SUITE 102-103 AND 201-204, Pasadena, MD, 21122 |
| Phone | 4435483733 |
| Fax | 4103601675 |
| Enumeration date | 2017-01-31 |
| Last updated in NPPES | 2024-06-14 |
Authorized official
| Name | Jessie Costley |
|---|---|
| Title | Administrator |
| Phone | 4435483733 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | Secondary | — | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200319800 | Medicaid | MD | — |
Copy-ready billing details
Provider: Evolve Life Centers Iop LLC NPI: 1851838643 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 2528 MOUNTAIN RD, SUITE 102-103 AND 201-204, Pasadena, MD, 21122
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447225719 | Natale Gagliardi | Individual | Addiction Medicine (Family Medicine) Physician | Pasadena, MD |
| 1457629255 | New Life Addiction Counseling Services, Inc. | Organization | Psychiatry Physician | Pasadena, MD |
| 1992064000 | Jason Bumgarner | Individual | Social Worker | Pasadena, MD |
| 1073872842 | New Life Addiction Counseling Services, Inc. | Organization | Mental Health Counselor | Pasadena, MD |
| 1457610289 | Barbara Fowler | Individual | Addiction (Substance Use Disorder) Counselor | Pasadena, MD |
| 1407393291 | Sara Burden | Individual | Community/Behavioral Health Agency | Pasadena, MD |
| 1851876148 | Rachel Collins | Individual | Professional Counselor | Pasadena, MD |
| 1417576463 | Annie Tabi | Individual | Psychiatric/Mental Health Nurse Practitioner | Pasadena, MD |
Verify this record
Cross-check NPI 1851838643 against the authoritative CMS record: view Evolve Life Centers Iop LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Evolve Life Centers Iop LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-06-14.