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AMANDA EVERLY LMHC
NPI 1700121902
Counselor - Mental Health in Renton, WA

Active since November 29, 2012PECOS EnrolledAccepts Medicare Assignment
304 MAIN AVE S STE 102, RENTON, WA 98057(206) 518-1340(855) 958-5396 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Everly Lmhc NPPES

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

AMANDA EVERLY LMHC (NPI 1700121902) is an individual mental health provider in Renton, Washington, licensed in Washington (LH60307682) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1700121902
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA EVERLYCredential: LMHC
Location Address304 MAIN AVE S STE 102Renton, WA 98057-2758
Mailing Address304 Main Ave S Ste 102Renton, WA 98057-2758 · (206) 518-1340 · Fax (855) 958-5396
Phone(206) 518-1340
Fax(855) 958-5396
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 29, 2012
Last NPPES UpdateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
✔ NPI 1700121902 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 WA · LH60307682
304 MAIN AVE S STE 102, Renton, WA 98057
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.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

Amanda Everly Lmhc 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 ID4082155064
PECOS Enrollment IDI20240917004683
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

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

FREED SPIRIT STUDIOS
Counselor (Mental Health)
304 MAIN AVE S STE 102
RENTON, WA 98057
King County (206) 518-1340

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 Amanda Everly's NPI number?

The NPI number for Amanda Everly is 1700121902. It was assigned to this individual provider in the NPPES registry on November 29, 2012.

Where is Amanda Everly located?

Amanda Everly practices at 304 Main Ave S Ste 102, Renton, WA 98057. The listed phone number is (206) 518-1340.

What is Amanda Everly's specialty?

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

Is Amanda Everly enrolled in Medicare?

Yes. Amanda Everly 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 Amanda Everly accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Amanda Everly 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 Amanda Everly was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.