KATHRYN EVERSON — NPI 1033427836 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1033427836

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

101YP2500X (CMS E2)

Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor

Box 32 Service Location & ZIP+4

1500 N 34TH ST STE 100, SUPERIOR, WI, 54880-4476

✓ 9-Digit EDI 837 ZIP+4 (54880-4476)

Practice Phone & Referral Fax

(218) 728-4491

Fax: (218) 728-4404

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033427836 (KATHRYN EVERSON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033427836` (NPI-1 Individual Practitioner)
Provider / Legal Name	KATHRYN EVERSON
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: `101YP2500X` (Counselor, Professional)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1500 N 34TH ST STE 100, SUPERIOR, WI, 54880-4476
Practice Telephone / Fax	Tel: (218) 728-4491 \| Fax: (218) 728-4404
Administrative Mailing Address	1401 E 1ST ST, DULUTH, MN, 55805-2407
Enumeration & Last Sync	Enumerated: 2010-09-15 \| CMS Record Updated: 2026-07-31

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1500 N 34TH ST STE 100, SUPERIOR, WI, 54880-4476

🗺️ Open in Google Maps 🏥 More Providers in SUPERIOR

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Plain-English Taxonomy & CMS Crosswalk (101YP2500X)

What Does Taxonomy Code 101YP2500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP2500X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code E2 (Licensed Professional Counselor)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Professional for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KATHRYN EVERSON)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YP2500X` — Counselor, Professional Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: WI \| License: `4826-125` \| Primary: Yes (Primary)
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: MN \| License: `1427` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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KATHRYN EVERSON (NPI #1033427836)