Active NPI
Michael Charles Everson, LMFT
- Marriage & Family Therapist
- Carmichael, CA
National Provider Identifier
1639574015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 97556
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81305 | Other | CA | MFT REGISTERED INTERN # |
| 97556 | Other | CA | LMFT |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97556 | CA | MD | Clinical Social Worker |
| 81305 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Marriage & Family Therapist
- Carmichael, CA
- NPI 1568055218
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.