KASSAUNDRA EVERETTE - NPI 1164093936 - Counselor in Des Moines, IA

Q: 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.

Q: What is Kassaundra Everette's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

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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

NPI1164093936

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKASSAUNDRA EVERETTE

Location Address501 SW 7TH ST STE ADes Moines, IA 50309-4538

Mailing Address209 10th Ave S Ste 350Nashville, TN 37203-4166

Phone(515) 304-5505

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 2, 2021

Last NPPES UpdateApril 8, 20264 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1164093936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IA · 136668

501 SW 7TH ST STE A, Des Moines, IA 50309

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kassaundra Everette is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931698958

PECOS Enrollment IDI20251030000794

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 4

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

AXIAL CLINIC IA PC

Internal Medicine

501 SW 7TH ST STE A
DES MOINES, IA 50309

Polk County (515) 304-5505

MACKENZIE ANN JUERGENSEN TCADC

Counselor (Addiction (Substance Use Disorder))

501 SW 7TH ST STE A
DES MOINES, IA 50309

Polk County (515) 304-5505

ANGELA PEMBROKE ARNP

Nurse Practitioner (Family)

501 SW 7TH ST STE A
DES MOINES, IA 50309

Polk County (515) 304-5505

AXIAL CLINIC IA PC

Internal Medicine

501 SW 7TH ST STE A
DES MOINES, IA 50309

Polk County (515) 304-5505

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.

When was this NPI record last updated?

The NPPES record for Kassaundra Everette was last updated on April 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.