KELLEY F EVERSON LPC
NPI 1053685602
Counselor - Professional in Janesville, WI

Active since February 29, 2012PECOS EnrolledAccepts Medicare Assignment
17 S RIVER ST, 254, JANESVILLE, WI 53548(608) 755-5260(608) 755-5267 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelley F Everson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY F EVERSON LPC (NPI 1053685602) is an individual professional provider in Janesville, Wisconsin, licensed in Wisconsin (4673-125) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053685602
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLEY F EVERSONCredential: LPC
Location Address17 S RIVER ST, 254Janesville, WI 53548-3860
Mailing Address17 S River St, 254Janesville, WI 53548-3860 · (608) 755-5260 · Fax (608) 755-5267
Fax(608) 755-5267
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 29, 2012
NPI 1053685602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 4673-125
17 S RIVER ST, Janesville, WI 53548

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelley F Everson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355793795
PECOS Enrollment IDI20240122001002
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
17 S RIVER ST
JANESVILLE, WI 53548
Counselor (Professional)
17 S RIVER ST
JANESVILLE, WI 53548
Counselor (Professional)
17 S RIVER ST, SUITE 254
JANESVILLE, WI 53548
Counselor (Mental Health)
17 S RIVER ST, 254
JANESVILLE, WI 53548
Physician Assistant (Medical)
17 S RIVER ST, SUITE 254
JANESVILLE, WI 53548
Counselor (Professional)
17 S RIVER ST, SUITE 254
JANESVILLE, WI 53548
Social Worker (Clinical)
17 S RIVER ST
JANESVILLE, WI 53548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Everson's NPI number?

The NPI number for Kelley Everson is 1053685602. It was assigned to this individual provider in the NPPES registry on February 29, 2012.

Where is Kelley Everson located?

Kelley Everson practices at 17 S River St 254, Janesville, WI 53548. The listed phone number is (608) 755-5260.

What is Kelley Everson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelley Everson enrolled in Medicare?

Yes. Kelley Everson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelley Everson accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, MercyCare Health Plans, Quartz and UnitedHealthcare list Kelley Everson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelley Everson was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.