KASSAUNDRA EVERETTE
NPI 1164093936
Counselor - Mental Health in Des Moines, IA
About Kassaundra Everette NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASSAUNDRA EVERETTE (NPI 1164093936) is an individual mental health provider in Des Moines, Iowa, licensed in Iowa (136668) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kassaundra Everette is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kassaundra Everette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Skokie, IL 60076
- Reassigned Medicare billing, Illinois enrollment
- 491 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DES MOINES, IA 50309
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 Kassaundra Everette's NPI number?
The NPI number for Kassaundra Everette is 1164093936. It was assigned to this individual provider in the NPPES registry on July 2, 2021.
Where is Kassaundra Everette located?
Kassaundra Everette practices at 501 SW 7th St Ste A, Des Moines, IA 50309. The listed phone number is (515) 304-5505.
What is Kassaundra Everette's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kassaundra Everette enrolled in Medicare?
Yes. Kassaundra Everette is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kassaundra Everette's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kassaundra Everette reassigns Medicare benefits to Vitae Health Medical Illinois, PLLC (Skokie, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kassaundra Everette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kassaundra Everette accept?
Health plans from Oscar Health list Kassaundra Everette 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 Kassaundra Everette was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Kassaundra Everette · NPI 1164093936
Mental Health provider in Des Moines, Iowa. Individual provider, active in the CMS NPPES registry since July 2, 2021.
## Identity
- **NPI:** 1164093936 (Entity type: Individual)
- **Enumerated:** July 2, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 136668 (Iowa)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 501 SW 7TH ST STE A, Des Moines, IA 50309-4538
- **Phone:** (515) 304-5505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Vitae Health Medical Illinois, PLLC (NPI 1174013452, Skokie, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164093936) · Data from the CMS NPPES public registry.