MARY ELLEN EVERETT LCSW
NPI 1912051376
Counselor - Mental Health in Gainesville, VA

Q: What is Mary Ellen Everett's NPI number?

The NPI number for Mary Ellen Everett is 1912051376. It was assigned to this individual provider in the NPPES registry on January 23, 2007. The provider is also known as Mary Ellen Cordisco Lcsw.

Q: What is Mary Ellen Everett's specialty?

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

Q: Is Mary Ellen Everett enrolled in Medicare?

No. Mary Ellen Everett has opted out of Medicare through January 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since January 23, 2007Opted out of Medicare · through Jan 23, 2027

7450 HERITAGE VILLAGE PLAZA DR., SUITE 101, GAINESVILLE, VA 20155(703) 989-0786(571) 261-1170 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mary Ellen Everett Lcsw NPPES

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

MARY ELLEN EVERETT LCSW (NPI 1912051376) is an individual mental health provider in Gainesville, Virginia, licensed in Virginia (0904005256) and active in the NPI registry since January 2007. She has opted out of Medicare through January 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912051376

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARY ELLEN EVERETTCredential: LCSW

Location Address7450 HERITAGE VILLAGE PLAZA DR., SUITE 101Gainesville, VA 20155

Mailing Address7450 Heritage Village Plaza Dr., Suite 101Gainesville, VA 20155 · (703) 989-0786 · Fax (571) 261-1170

Phone(703) 989-0786

Fax(571) 261-1170

Sole ProprietorYes

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912051376 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 VA · 0904005256

7450 HERITAGE VILLAGE PLAZA DR., Gainesville, VA 20155

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Other Names 1

Former Name (1)Mary Ellen Cordisco Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary Ellen Everett Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 23, 2017 through January 23, 2027.

Opt-Out Effective DateJanuary 23, 2017

Opt-Out In Effect ThroughJanuary 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Mary Ellen Everett's NPI number?

The NPI number for Mary Ellen Everett is 1912051376. It was assigned to this individual provider in the NPPES registry on January 23, 2007. The provider is also known as Mary Ellen Cordisco Lcsw.

Where is Mary Ellen Everett located?

Mary Ellen Everett practices at 7450 Heritage Village Plaza Dr. Suite 101, Gainesville, VA 20155. The listed phone number is (703) 989-0786.

What is Mary Ellen Everett's specialty?

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

Is Mary Ellen Everett enrolled in Medicare?

No. Mary Ellen Everett has opted out of Medicare through January 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Ellen Everett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.