Everett McCoy

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

7280 Issued in CA

Practice address

285 4TH St
Woodland, CA 95695-3501

Phone

(530) 631-0814

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not 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.

• Yolo Wayfarer Center (Christian Mission)

  dba Fourth and Hope

  • Substance Abuse Rehabilitation Facility
  • Woodland, CA
  • NPI 1831543578
  NPD
• Yolo Wayfarer Center (Christian Mission)

  dba Fourth and Hope

  • Point of Service
  • Woodland, CA
  • NPI 1922466226
  NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1275351108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 4TH ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953501",
            "telephone_number": "530-631-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 4TH ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953501",
            "telephone_number": "530-631-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "EVERETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "7280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kehli Ayn McCaskill, P.A.
• Kathryn Louise McColgin
• Andrea Marie McComas
• Ryan D McConlogue, RN
• Phylicia McCord, PPS
• Christopher Patrick McDermott, PA-C
• Kaitlin Nicole McEvilly
• Katherine McFadden, R.D., CDE
• Judeth McGann, MD
• James Edward McGibbon, M.D.

• Addiction (Substance Use Disorder) Counselor in Woodland, CA
• Providers in Woodland, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.