MARY ELLEN EVERETT LCSW NPI 1912051376

NPI Information

  • NPI: 1912051376
  • Provider Name: MARY ELLEN EVERETT, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7450 HERITAGE VILLAGE PLAZA DR.
    SUITE 101
    GAINESVILLE, VA
    ZIP 20155
  • Phone: (703) 989-0786

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NPI Details

Mary Ellen Everett, LCSW is a mental health counselor in Gainesville, VA. Mary Ellen Everett, LCSW NPI is 1912051376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7450 HERITAGE VILLAGE PLAZA DR.
SUITE 101
GAINESVILLE, VA
ZIP 20155
Phone: (703) 989-0786
Fax: (571) 261-1170

The NPI 1912051376 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health0904005256VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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