Active NPI
Michelle R. Everett, CASAC
- Addiction (Substance Use Disorder) Counselor
- Jamaica, NY
National Provider Identifier
1912145228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 18234
- Practice address
- 14732 Jamaica Ave
Jamaica, NY 11435-4042 - Phone
- (718) 523-4242
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18234 | NY | Primary |
Addresses
Primary practice location
14732 Jamaica Ave
Jamaica, NY 11435-4042
Mailing address
13417 166TH PL
Apt. #10F
Jamaica, NY 11434-3846
Phone (347) 392-2195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18234 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1912145228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13417 166TH PL",
"address_2": "APT. #10F",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114343846",
"telephone_number": "347-392-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14732 JAMAICA AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114354042",
"telephone_number": "718-523-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "MICHELLE",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "18234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.