CARROLL EVERTSON (NPI# 1336169267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336169267 |
| Entity Type | Individual |
| Full Name | CARROLL EVERTSON |
| Credential | LMHC |
| Practice Address |
1150 Hibiscus Dr Pembroke Pines FL 33025-4554 |
| Mailing Address |
4100 Vinkemulder Rd Coconut Creek FL 33073-3433 |
| Practice Telephone | 9549676300 |
| Mailing Telephone | 9549676300 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH6745 | Behavioral Health & Social Service Providers |
| Street Address |
1150 HIBISCUS DR |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33025-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639455587 | Amanda Marie Patterson | Counselor | 1150 Hibiscus Dr, Pembroke Pines, FL 33025-4554 | 2011-10-24 |
| 1528357167 | Henry J. Swedlaw | Counselor | 1150 Hibiscus Dr, Pembroke Pines, FL 33025-4554 | 2011-04-05 |
| 1003142167 | Mathieu Kamburian | Psychologist | 1150 Hibiscus Dr, Pembroke Pines, FL 33025-4554 | 2009-10-26 |
| 1295060960 | Lydia Lavern Moore | Social Worker | 1150 Hibiscus Dr, Pembroke Pines, FL 33025-4554 | 2009-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702329 | Ashley V Carter | Nutritionist | 3803 Sw 93rd Ave, Miramar, FL 33025 | 2019-10-24 |
| 1477024305 | Jeff Rocker | Counselor | 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 | 2018-12-17 |
| 1760959779 | Spring Health Inc | In Home Supportive Care | 1799 Sw 82nd Pl, Miramar, FL 33025 | 2018-10-28 |
| 1649763004 | Ann-marie Elizabeth Pryce | Nurse Practitioner | 8942 Sw 19th St, Miramar, FL 33025 | 2018-06-11 |
| 1588154876 | Michelle Angelle Crawford | Behavior Technician | 10630 Washington St Apt 103, Pembroke Pines, FL 33025 | 2018-05-14 |
| 1598267809 | Lydia Rosa Malcolm | Psychologist | 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 | 2018-03-02 |
| 1447760657 | At Talitha Cumi Home Care, Inc. | Homemaker | 3140 Sw 120 Terr, Miramar, FL 33025 | 2017-10-03 |
| 1962924522 | Yenni Celina Cueto | Behavioral Analyst | 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 | 2017-07-14 |
| 1093236713 | Manoucheca Fabienne Phanord | Nurse Practitioner | 11575 City Hall Promenade, #4-150, Miramar, FL 33025 | 2017-07-03 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| Find all providers in zip 33025 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576535 | Loreley Caplan | Counselor | 15962 Sw 13th St, Pembroke Pines, FL 33027-5052 | 2020-10-21 |
| 1952916892 | Claudia Garcia Ribbi | Counselor | 336 Sw 195th Ave, Pembroke Pines, FL 33029-5461 | 2020-09-08 |
| 1053938829 | Allyson Marie Timmons | Counselor | 11655 Nw 11th St, Pembroke Pines, FL 33026-3838 | 2020-06-28 |
| 1346872918 | Adriana Bovee | Counselor | 2250 Pembroke Falls Blvd Ste 100a, Pembroke Pines, FL 33028-2586 | 2020-02-11 |
| 1295367092 | Blooming Minds Psychology | Counselor | 2250 Nw 136 Ave Ste 100b&c, Pembroke Pines, FL 33028-2586 | 2020-02-10 |
| 1033741921 | Natalia Medina Benavides | Counselor | 1633 Poinciana Dr Fl 33025, Pembroke Pines, FL 33025-4587 | 2020-02-07 |
| 1841833670 | Primrose Humphries | Counselor | 15800 Pines Blvd # 3073, Pembroke Pines, FL 33027-1212 | 2019-10-24 |
| 1134778194 | Royletta Tinsley | Counselor | 8921 Nw 21st Ct, Pembroke Pines, FL 33024-3218 | 2019-09-11 |
| 1558824003 | Psych-md, LLC | Counselor | 11924 Nw 12th St, Pembroke Pines, FL 33026-3856 | 2019-04-11 |
| 1952862328 | Nallivy Fernandez | Counselor | 630 Sw 70th Ave, Pembroke Pines, FL 33023-1023 | 2019-03-28 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33025 |
Please comment or provide details below to improve the information on CARROLL EVERTSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.