Yonette Nicole Matilde Eversley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18-P123904-01 Issued in NY

Practice address

208 Steeple CT
Perry, GA 31069-4595

Phone

(347) 494-2760

NPI assigned

Sep 4, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Female

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

Enrolled in NY

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, 2023

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

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NY

  Medicare reassignment NPD
• Deeply Rooted Mental Health Counsel Ing PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albany, NY
  • NPI 1033069422
  NPD Authorized official
• Resilience Psychotherapy LCSW PC

  • Clinical Social Worker
  • New York, NY
  • NPI 1003459694
  NPD (past)

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1497580047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 STEEPLE CT",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694595",
            "telephone_number": "347-494-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 STEEPLE CT",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694595",
            "telephone_number": "347-494-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSLEY",
        "first_name": "YONETTE",
        "middle_name": "NICOLE MATILDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18-P123904-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Woodall Easler, PHARM D.
• Emory Physical Therapy, LLC
• Encouragement Counseling, LLC
• Otha Everett, EDD, CRC, MHP
• Ebony Everette
• David Lee Faircloth, DPT
• Samantha B Faircloth
• Carson Farrell Fay, FNP-C
• Logan Daryl Felker
• Felts Training Institute

• Mental Health Counselor in Perry, GA
• Providers in Perry, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.