KIMBERLA EVERETT
NPI 1669695086
Counselor - Mental Health in Jonesboro, AR

Active since April 11, 2007PECOS Enrolled
2707 BROWNS LN, JONESBORO, AR 72401(870) 972-4939(870) 972-4911 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberla Everett NPPES

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

KIMBERLA EVERETT (NPI 1669695086) is an individual mental health provider in Jonesboro, Arkansas, licensed in North Carolina (14912) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669695086
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLA EVERETT
Location Address2707 BROWNS LNJonesboro, AR 72401-7213
Mailing Address2707 Browns LnJonesboro, AR 72401-7213 · (870) 972-4939 · Fax (870) 972-4911
Fax(870) 972-4911
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1669695086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 14912
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2707 BROWNS LN, Jonesboro, AR 72401

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)

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kimberla Everett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, North Carolina enrollment
  • 104 clinicians in this Medicare group
Mental Health
8406 SIX FORKS RD STE 104
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 188 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina enrollment
  • 712 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 20

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

Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Licensed Practical Nurse
2707 BROWNS LN
JONESBORO, AR 72401
Social Worker
2707 BROWNS LN
JONESBORO, AR 72401
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401

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 Kimberla Everett's NPI number?

The NPI number for Kimberla Everett is 1669695086. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Kimberla Everett located?

Kimberla Everett practices at 2707 Browns Ln, Jonesboro, AR 72401. The listed phone number is (870) 972-4939.

What is Kimberla Everett's specialty?

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

Is Kimberla Everett enrolled in Medicare?

Yes. Kimberla Everett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberla Everett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberla Everett reassigns Medicare benefits to 3 organizations: Mental Health Specialty Group PA (Durham, NC), Thriveworks Clinical - North Carolina PC (Raleigh, NC) and Grow Healthcare Group PA (Miami, FL). Each 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 Kimberla Everett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberla Everett accept?

Health plans from UnitedHealthcare list Kimberla Everett 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 Kimberla Everett was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.