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

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

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