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: July 26, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Counselor (Mental Health)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008
Counselor (Professional)
8196 SW HALL BLVD STE 230
BEAVERTON, OR 97008

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.

What insurance does Kelly Everett accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon 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 with the weekly NPPES data releases published by CMS.