Individual provider Active NPI

Kimberly Ann Everard, LCSW-CP

  • Professional Counselor
  • Benson, NC
National Provider Identifier
1144835547
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
304 E Harnett St
Benson, NC 27504-1706
Phone
(518) 859-4440
NPI assigned
Sep 11, 2020
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0137256 VT
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Clinical Social Worker 1041C0700X CO16545 NC
Clinical Social Worker 1041C0700X 12269 SC

Addresses

Primary practice location

304 E Harnett St
Benson, NC 27504-1706

Mailing address

304 E Harnett St
Benson, NC 27504-1706
Phone (518) 859-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209001759 NC Practitioner - Clinical Social Worker 7012350713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricare Counseling and Consulting, Inc.Group PAC ID 7416137096, 4 clinicians

Practice addresses (Care Compare)

731 Tilghman Dr
Dunn, NC 28334-5507
Phone (910) 292-6081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO16545NCMDClinical Social Worker
12269SCMDClinical Social Worker
089.0137256VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tricare Counseling & Consulting, Inc. Single Specialty CurrentSince Jan 15, 2024 Accepting new patients

Locations

731 Tilghman Dr
Dunn, NC 28334
Phone (910) 249-4219

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1144835547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E HARNETT ST",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041706",
            "telephone_number": "518-859-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E HARNETT ST",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041706",
            "telephone_number": "518-859-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERARD",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LCSW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0137256",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "CO16545",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, NC

Sources for this page

Verify at the official NPI Registry.