Evernorth Clinic, PLLC
NPI 1053116483 · Adolescent and Children Mental Health Clinic/Center · Albertville, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evernorth Clinic, PLLC is a Adolescent and Children Mental Health Clinic/Center organization in Albertville, MN (NPI 1053116483).
Provider details
- NPI number
- 1053116483
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Johnson, Owner, Founder(931) 436-8197
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-02-18
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Frequently asked questions
- What is Evernorth Clinic, PLLC's NPI number?
- Evernorth Clinic, PLLC's National Provider Identifier (NPI) is 1053116483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evernorth Clinic, PLLC?
- Evernorth Clinic, PLLC is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Evernorth Clinic, PLLC located?
- Evernorth Clinic, PLLC's practice location on file with NPPES is 5703 Lachman Ave Ne, Albertville, MN 55301-3973.
- What is Evernorth Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Evernorth Clinic, PLLC is (763) 284-1877.
- Does Evernorth Clinic, PLLC accept Medicare?
- Evernorth Clinic, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evernorth Clinic, PLLC?
- The authorized official listed on Evernorth Clinic, PLLC's NPPES record is Amanda Johnson, Owner, Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evernorth Clinic, PLLC's NPI active?
- Yes — Evernorth Clinic, PLLC's NPI (1053116483) is active in the NPPES registry as of the last update on 2025-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.