J Matthew Everett, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

76157 Issued in TX

Practice address

4455 S Padre Island Dr Ste 101
Corpus Christi, TX 78411-5125

Phone

(334) 701-3858

NPI assigned

Nov 13, 2020

Last updated

Nov 13, 2020By the provider in NPPES

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

Enrolled in TX

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aaverlee Clinical AssociatesGroup PAC ID 2264844687, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaverlee Clinical Associates

  • Clinical Social Worker
  • Corpus Christi, TX
  • NPI 1043429830
  Medicare reassignment Care Compare group NPD
• Aaverlee Clinical Associates

  • Mental Health Counselor
  • Corpus Christi, TX
  • NPI 1831429372
  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1275135246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 ORLANDO DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113339",
            "telephone_number": "334-701-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR STE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115125",
            "telephone_number": "334-701-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "J",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard R. Evans, M.D.
• Carlos Everett, CRNA
• Carlos Barrera Everett, M.D.
• Diane Marie Everett, RPH
• Edna M. Everett, PHARMACIST
• Lissette Denise Everett, RPH
• Mark Allen Everett, R.PH.
• Mitchell E. Everett, RPH
• Orel Michael Everett, M.D.
• Everhart Dental PLLC

• Mental Health Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.