Elizabeth Ellen Bevers, LMFT

Individual provider Active NPI Marriage & Family Therapist · Norman, OK

NPI 1174891667 · NPPES record last updated Jun 27, 2024

Key facts

NPI
1174891667
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
1176 (OK)
Practice address
909 Alameda St
Norman, OK 73071-5229
Phone
(405) 360-5100
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240220001513 OK Practitioner - Marriage and Family Therapist 5991149726 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1176OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma Current
since Jan 7, 2024
Accepting new patients
State of Oklahoma Current
since Jan 7, 2024
Accepting new patients
State of Oklahoma Current Accepting new patients

Locations

602 SW 38th St
Lawton, OK 73505

909 Alameda St
Norman, OK 73071
Phone (405) 573-3812

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1176 OK Yes
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

909 Alameda St
Norman, OK 73071-5229

Mailing address

10601 Hunters Pointe
Edmond, OK 73034-1603
Phone (405) 365-9481

Other providers in Norman, OK

All providers in Norman, OK · Marriage & Family Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.