Active NPI
Elizabeth Mitchell, M.ED.
- Professional Counselor
- Edmond, OK
National Provider Identifier
1295019057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5358
- Practice address
- 3839 S Boulevard Ste 200
Edmond, OK 73013-5495 - Phone
- (918) 638-4219
- NPI assigned
- Sep 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 5358 | OK | Primary |
Addresses
Primary practice location
3839 S Boulevard Ste 200
Edmond, OK 73013-5495
Mailing address
3839 S Boulevard Ste 200
Edmond, OK 73013-5495
Phone (918) 638-4219
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5358 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dysfunctional Couch | Professional | Current | Accepting new patients |
Locations
3839 S Boulevard
Ste 200
Edmond, OK 73013
Phone (405) 326-1772
2529 S Kelly Ave
Ste C
Edmond, OK 73013
Phone (405) 445-2323
Organizations & group practices 1
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.
-
- Professional Counselor
- Edmond, OK
- NPI 1295248425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1295019057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3839 S BOULEVARD STE 200",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135495",
"telephone_number": "918-638-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3839 S BOULEVARD STE 200",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135495",
"telephone_number": "918-638-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ELIZABETH",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-28",
"last_updated": "2023-03-03",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "5358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.