Individual provider Active NPI

Elizabeth Ann Dubois, M.A.

  • Marriage & Family Therapist
  • Midwest City, OK
National Provider Identifier
1326278581
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
351 N Air Depot Blvd Ste J
Midwest City, OK 73110-1760
Phone
(405) 979-0431
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

351 N Air Depot Blvd Ste J
Midwest City, OK 73110-1760

Mailing address

351 N Air Depot Blvd Ste J
Midwest City, OK 73110-1760
Phone (405) 979-0431

Other practice location 1

624 NW 5th St
Moore, OK 73160-3924
Phone (405) 799-3379 ext. 230

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL therapyappointment.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229000676 OK Practitioner - Marriage and Family Therapist 8820433865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

351 N Air Depot Blvd
Suite J
Midwest City, OK 73110-1760
Phone (405) 979-0431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Positively Psyched Counseling Services LLC CurrentSince Feb 14, 2024 Accepting new patients

Locations

351 N Air Depot Blvd
Ste J
Oklahoma City, OK 73110
Phone (405) 979-0431

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1326278581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N AIR DEPOT BLVD STE J",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731101760",
            "telephone_number": "405-979-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N AIR DEPOT BLVD STE J",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731101760",
            "telephone_number": "405-979-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 NW 5th St",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731603924",
            "country_code": "US",
            "telephone_number": "405-799-3379 x230",
            "fax_number": "405-799-0912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapyappointment.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Oklahoma City",
            "address_1": "351 N Air Depot Blvd Ste J",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731101760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.