Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley F Everson, LPC

Individual provider Professional Counselor · NPI 1053685602

Kelley F Everson, LPC is a Mental Health Counselor in Janesville, Wisconsin. Qualified in 2004, 22 years ago. Practices with Stateline Mental Health Services, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
22
Licensed in
WI
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

17 S River St 254
Janesville, WI 53548-3860
Phone: (608) 755-5260
Fax: (608) 755-5267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4673-125 (WI)

Record details

NPI number1053685602
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedFebruary 29, 2012
Last updated in NPPESFebruary 29, 2012
Mailing address17 S River St, 254, Janesville, WI 53548-3860

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Stateline Mental Health Services — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Janesville