Individual provider Active NPI

Michael Charles Everson, LMFT

  • Marriage & Family Therapist
  • Carmichael, CA
National Provider Identifier
1639574015
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97556 Issued in CA
Practice address
8037 Fair Oaks Blvd Ste 110
Carmichael, CA 95608-6742
Phone
(916) 905-3395
Fax
(916) 905-0315
NPI assigned
Oct 28, 2014
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 81305 CA
Marriage & Family Therapist 106H00000X 97556 CA Primary

Addresses

Primary practice location

8037 Fair Oaks Blvd Ste 110
Carmichael, CA 95608-6742

Mailing address

8037 Fair Oaks Blvd Ste 110
Carmichael, CA 95608-6742
Phone (916) 905-3395

Other practice location 1

420 Folsom Rd Ste D
Roseville, CA 95678-2767
Phone (916) 905-3395

Other identifiers 2

IdentifierTypeStateIssuer
81305OtherCAMFT REGISTERED INTERN #
97556OtherCALMFT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97556CAMDClinical Social Worker
81305CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Everson Marriage & Family Therapist Current Accepting new patients

Locations

8037 Fair Oaks Blvd
Ste 110
Carmichael, CA 95608
Phone (916) 206-7784

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1639574015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8037 FAIR OAKS BLVD STE 110",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086742",
            "telephone_number": "916-905-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8037 FAIR OAKS BLVD STE 110",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086742",
            "telephone_number": "916-905-3395",
            "fax_number": "916-905-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Folsom Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956782767",
            "country_code": "US",
            "telephone_number": "916-905-3395",
            "fax_number": "916-905-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-28",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "81305",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT REGISTERED INTERN #",
            "identifier": "81305",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "97556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.