Elizabeth Jade Eason

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

261Q00000X Issued in OK

Practice address

201 S Murray St
Tishomingo, OK 73460-2224

Phone

(580) 371-0321

Fax

(580) 371-0131

NPI assigned

May 3, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Refuge Behavioral Health PLLC

  • Clinic/Center
  • Tishomingo, OK
  • NPI 1104193093
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1295093706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MURRAY ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602224",
            "telephone_number": "580-371-0321",
            "fax_number": "580-371-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MURRAY ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602224",
            "telephone_number": "580-371-0321",
            "fax_number": "580-371-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON",
        "first_name": "ELIZABETH",
        "middle_name": "JADE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "261Q00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase William Dickerson
• Andrew Christopher Dickmeyer, BLC, BA
• Chrissy Kay Dickmeyer, BA, BHRS
• Zachary Dodd
• Billye Caye Downard
• Shelby Lynn Eason
• Mojgan Ebrahimi, DDS
• Barbara Jo Eckman, LPN/BHCM
• Craig Kendall Edmondson, BS ED BHRS
• Kevin Edmondson

• Mental Health Counselor in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.