Simon Everest

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4416 Issued in MN

Practice address

1032 Grand Ave # 100
Saint Paul, MN 55105-3064

Phone

(320) 496-7301

NPI assigned

Jun 28, 2024

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Bond Psychotherapy, LLC

  • Marriage & Family Therapist
  • Saint Paul, MN
  • NPI 1881412096
  NPD Authorized official

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1770328973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 WESTERN AVE N APT 1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031568",
            "telephone_number": "320-496-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 GRAND AVE # 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053064",
            "telephone_number": "320-496-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVEREST",
        "first_name": "SIMON",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Lynn Evans, PT
• Angus Brian Evanson
• Evening Chiropractic Clinic LLC
• Alayna Evens, WHNP-BC
• Everest Service Corporation
• Telesea Chantelle Everett, LICSW
• Evergreen Chiropractic
• Evergreen Health Services PLC
• Evergreen Home Healthcare
• Evergreen Mental Health Services, Inc

• Marriage & Family Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.