Everest Deadlock

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

143287 Issued in CA

Practice address

2507 US Route 11
La Fayette, NY 13084-9998

Phone

(408) 826-9467

NPI assigned

Aug 29, 2023

Last updated

Jul 14, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1588449300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 US ROUTE 11",
            "city": "LA FAYETTE",
            "state": "NY",
            "postal_code": "130849998",
            "telephone_number": "408-826-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 US ROUTE 11",
            "city": "LA FAYETTE",
            "state": "NY",
            "postal_code": "130849998",
            "telephone_number": "408-826-9467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Loma Alta Ave",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950306227",
            "country_code": "US",
            "telephone_number": "669-308-6530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEADLOCK",
        "first_name": "EVEREST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "143287",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Brown
• Robert W Burton, PT OCS
• Paula S Bush, R.N.
• Donna Deanne Coty, D.C.
• Timothy Brooks Cowart, IDC
• Jennifer Gates, R.N.
• Sarah R Gheen, RN
• Bonnie Jean Greczyn, LPN
• David Matthew Hanas, LMT
• James Hanley, LPN

• Mental Health Counselor in La Fayette, NY
• Providers in La Fayette, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.