Tyson Everett, CSAC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

A-3249-0001 Issued in IL

Practice address

5500 S Indiana Ave BSMT
Chicago, IL 60637-1011

Phone

(773) 488-9460

NPI assigned

Jul 30, 2015

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Bridging the Tys to Jordan Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Chicago, IL
  • NPI 1083884019

  Case Management

  NPD Authorized official

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1255717385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 S INDIANA AVE BSMT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371011",
            "telephone_number": "773-488-9460",
            "fax_number": "773-488-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 S INDIANA AVE BSMT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371011",
            "telephone_number": "773-488-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "TYSON",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2025-09-11",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "A-3249-0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Everett, LCSW
• Michele M Everett, M.D.
• Molly Everett, PHARMD, RPH
• Nedra Everett, LCSW
• Paul D Everett Jr.
• Evergreen Bridgeport LLC
• Evergreen Health & Wellness Inc.
• Evergreen Pediatric Therapy LLC
• Evergreen Public Adjusters Services LLC
• Evergreen Uptown LLC

• Case Management Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.