Kassaundra Everette

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

136668 Issued in IA

Practice address

501 SW 7TH St Ste a
Des Moines, IA 50309-4538

Phone

(515) 304-5505

NPI assigned

Jul 2, 2021

Last updated

Apr 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kassaundra.everette.1@13826.direct.athenahealth.com
• Direct secure messaging: lifestancehealth.kassanduraeverette@146897.advancedmd-direct.com

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.

• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452
  Medicare reassignment NPD

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1164093936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 10TH AVE S STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SW 7TH ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094538",
            "telephone_number": "515-304-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETTE",
        "first_name": "KASSAUNDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "136668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard William Evans, DO
• Sarah L Evans, BA, CADC
• Taylor Evans, PA-C
• Loras R Even, D.O.
• Ever Homes LLC
• Evernorth Care Providers - Delaware PA
• Shannon Brooke Evers, MSW, LISW
• Timothy L Evert, DO
• Karen Evison, RN
• Evolve Psychotherapy & Consulting

• Mental Health Counselor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.