Individual provider Active NPI

Andre Everette, B.A.

  • Counselor
  • Beverly, MA
National Provider Identifier
1366696932
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
7 Rantoul St
Suite 200
Beverly, MA 01915-4885
Phone
(978) 927-9410
Fax
(978) 922-6141
NPI assigned
Nov 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

7 Rantoul St
Suite 200
Beverly, MA 01915-4885

Mailing address

7 Rantoul St
Suite 200
Beverly, MA 01915-4885
Phone (978) 927-9410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1366696932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RANTOUL ST",
            "address_2": "SUITE 200",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154885",
            "telephone_number": "978-927-9410",
            "fax_number": "978-922-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RANTOUL ST",
            "address_2": "SUITE 200",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154885",
            "telephone_number": "978-927-9410",
            "fax_number": "978-922-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETTE",
        "first_name": "ANDRE",
        "name_prefix": "Mr.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.