KELLI EVERTON – Mental Health Counselor, NPI 1689245375

KELLI EVERTON is a healthcare provider. based in Tarpon springs, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. IMH20100 (FL). The NPI Number for KELLI EVERTON is 1689245375

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KELLI EVERTON
NPI
1689245375
Phone
(727) 547-3692
Address
1501 S PINELLAS AVE STE P
Enumeration Date
5 July 2021
Last Update Date
5 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275473692
Graduation Year
2020 (6 years ago)
PAC ID
3476901414
Group Practice PAC ID
4880029628
Professional Enrollment ID
I20231130003098
Address ID
FL346891952TA1501XAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for KELLI EVERTON

  • 1501 S PINELLAS AVE STE P

    TARPON SPRINGS, FL 346891952

    Phone: (727) 547-3692

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231130003098IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34689)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880029628View full group profile
NameSpecialtyState
Mental Health CounselorFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What NPI should I save for KELLI EVERTON?
Save NPI 1689245375 if you need a stable reference for KELLI EVERTON.
Is KELLI EVERTON's NPI currently valid?
The extract we use shows KELLI EVERTON as active.
What does KELLI EVERTON treat or focus on?
Patients typically see KELLI EVERTON under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location shows for KELLI EVERTON?
We surface Tarpon Springs, Florida for KELLI EVERTON based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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