JEFFREY EBBERTS (NPI# 1871907592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871907592 |
| Entity Type | Individual |
| Full Name | JEFFREY EBBERTS |
| Practice Address |
2530 S Commerce St Bldg B Ardmore OK 73401-5519 |
| Practice Telephone | 5802235636 |
| Mailing Telephone | 5802235636 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2530 S COMMERCE ST BLDG B |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134429525 | Katie Rae Ann Weston | Counselor | 2530 S Commerce St Bldg B, Ardmore, OK 73401-5519 | 2010-11-01 |
| 1437789567 | Dena Michele Jones | Case Manager/Care Coordinator | 2530 S Commerce St Bldg B, Ardmore, OK 73401-5519 | 2020-01-16 |
| 1346807815 | Jaime Elizabeth Aupperle | Behavior Technician | 2530 S Commerce St Bldg B, Ardmore, OK 73401-5519 | 2019-05-21 |
| 1053885038 | Kala Lee Hensley | Case Manager/Care Coordinator | 2530 S Commerce St Bldg B, Ardmore, OK 73401-5519 | 2019-01-14 |
| 1548790603 | Stephanie D Hudelson | Counselor | 2530 S Commerce St Bldg B, Ardmore, OK 73401-5519 | 2017-06-12 |
| 1275907586 | Deanne Lee Jordan | Counselor | 2530 S Commerce St Bldg B, Ardmore, OK 73401-5519 | 2015-11-24 |
| 1366717142 | Mary Jennifer Chaney | Licensed Practical Nurse | 2530 S Commerce St Bldg B, Ardmore, OK 73401-5519 | 2012-03-13 |
| 1922381623 | Kelsey Leigh Harder | Counselor | 2530 S Commerce St Bldg B, Ardmore, OK 73401-5519 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006157 | Emily Salkever-scott | Counselor | 28 S Wyoming Ave, Ardmore, PA 19003-1227 | 2020-09-03 |
| 1831664077 | Heart Mind & Soul Counseling Agency | Counselor | 301 W Main St Ste 302, Ardmore, OK 73401-6322 | 2018-10-03 |
| 1730661398 | Kay Lynn Cagle | Counselor | 301 W Main St Ste 307, Ardmore, OK 73401-6322 | 2018-08-30 |
| 1770001224 | Rll Counseling, LLC | Counselor | 333 W Main St Ste 242, Ardmore, OK 73401-6320 | 2017-09-05 |
| 1467805556 | Mary Adele Snider | Counselor | 603 C St Nw, Ardmore, OK 73401-5831 | 2016-07-13 |
| 1811353410 | Virginia L. Wrenn | Counselor | 404 Carter St Se, Ardmore, OK 73401-8552 | 2016-01-12 |
| 1063813863 | Wrightway Counseling Services, LLC | Counselor | 720 N Commerce St Ste 634, Ardmore, OK 73401-3915 | 2014-09-11 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| 1124430434 | Kelli Kaiser | Counselor | 320 11th Ave Nw, Ardmore, OK 73401-5826 | 2014-05-21 |
| 1962835173 | Stacy M Parker | Counselor | 1523 Chickasaw Blvd, Ardmore, OK 73401-1826 | 2013-08-12 |
| Find all providers in ARDMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.