MEDICARE: EMILY EVERETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0016518	CO

General Provider Information

NPI Number	:	1407700156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY EVERETT

Provider Business Mailing Address
First Line	:	1728 CONCORD DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-1602
Country	:	US
Telephone Number	:	970-541-9868
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 REMINGTON ST STE B
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-2983
Country	:	US
Telephone Number	:	970-541-9868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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Directions to “ EMILY EVERETT ” Practice Location

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