Active NPI
Barbara Sharon Eddy, LPC 2613
- Professional Counselor
- Custer City, OK
National Provider Identifier
1013221951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 2613
- Practice address
- 8877 N 2230 Rd
Custer City, OK 73639 - Phone
- (580) 445-6254
- Fax
- (580) 593-2435
- NPI assigned
- Aug 3, 2010
- Last updated
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC 2613 | OK | Primary |
Addresses
Primary practice location
8877 N 2230 Rd
Custer City, OK 73639
Mailing address
P.O. Box 576
Clinton, OK 73601
Phone (580) 445-6254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 2613 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1013221951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 576",
"city": "CLINTON",
"state": "OK",
"postal_code": "73601",
"telephone_number": "580-445-6254",
"fax_number": "580-593-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8877 N 2230 RD",
"city": "CUSTER CITY",
"state": "OK",
"postal_code": "73639",
"telephone_number": "580-445-6254",
"fax_number": "580-593-2435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "BARBARA",
"middle_name": "SHARON",
"name_prefix": "Mrs.",
"credential": "LPC 2613",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "LPC 2613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Custer City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.