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KELLY EVERETT
NPI 1972136638
Counselor - Addiction (Substance Use Disorder) in Beaverton, OR

Active since February 20, 2020PECOS Enrolled
8196 SW HALL BLVD STE 230, BEAVERTON, OR 97008(541) 638-0830(503) 641-5179 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Everett NPPES

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

KELLY EVERETT (NPI 1972136638) is an individual addiction (substance use disorder) provider in Beaverton, Oregon and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972136638
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY EVERETT
Location Address8196 SW HALL BLVD STE 230Beaverton, OR 97008-6401
Mailing Address8196 Sw Hall Blvd Ste 230Beaverton, OR 97008-6401 · (541) 638-0830 · Fax (503) 641-5179
Phone(541) 638-0830
Fax(503) 641-5179
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 20, 2020
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1972136638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
8196 SW HALL BLVD STE 230, Beaverton, OR 97008
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4880189679
PECOS Enrollment IDI20251218004010
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 Reassignment

Medicare enrollment records show Kelly Everett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Base Behavioral Health LLC
Same address
Mental Health
8196 SW HALL BLVD STE 230
Beaverton, OR 97008
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group
NPI 1538887955 (541) 638-0830

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 17

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

JEWEL SCHNEIDER MSW
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Washington County (541) 638-0830
GABRIEL CHARLES HOOSE
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Washington County (541) 638-0830
KAYA HASHIMOTO
Student in an Organized Health Care Education/Training Program
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Washington County (541) 638-0830
GAYLE GATDULA DAHILIG
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Washington County (541) 638-0830
GRETCHEN LEUTHY
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Washington County (541) 638-0830
BASE BEHAVIORAL HEALTH LLC
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Washington County (541) 638-0830
ELENA VICTORIA PERRINE
Counselor (Addiction (Substance Use Disorder))
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Washington County (541) 638-0830
MEGAN MARIE ANDERSON
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Washington County (541) 638-0830

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 Kelly Everett's NPI number?

The NPI number for Kelly Everett is 1972136638. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Where is Kelly Everett located?

Kelly Everett practices at 8196 SW Hall Blvd Ste 230, Beaverton, OR 97008. The listed phone number is (541) 638-0830.

What is Kelly Everett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kelly Everett enrolled in Medicare?

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

Which organization bills Medicare for Kelly Everett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Everett reassigns Medicare benefits to Base Behavioral Health LLC (Beaverton, OR). 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 Kelly Everett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Everett accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kelly 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 Kelly Everett was last updated on January 26, 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.