Kiara Marie Everett, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-23652 Issued in NC

Practice address

596 E Jackson Blvd BLDG B
Erwin, NC 28339-9629

Phone

(910) 897-2008

NPI assigned

Jun 26, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Morse Clinic of Dunn, PC

  • Methadone Clinic
  • Erwin, NC
  • NPI 1326557596
  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1902326424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 E JACKSON BLVD BLDG B",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283399629",
            "telephone_number": "910-897-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 E JACKSON BLVD BLDG B",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283399629",
            "telephone_number": "910-897-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "KIARA",
        "middle_name": "MARIE",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Ehlers, DMS, PA-C
• Amy Lamb Ennis, FNP
• Erwin Fire Department & Rescue Squad Inc
• Erwin Iga Inc
• Erwin Iga, Inc.
• Excel Outreach and Supportive Services LLC
• Excel Outreach Center, Inc.
• Family Medicine of Harnett County, Incorprated
• Fresh Start-New Beginnings Community Services Inc.
• Sonya Godwin

• Addiction (Substance Use Disorder) Counselor in Erwin, NC
• Providers in Erwin, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.