Active NPI
Elizabeth Ann Dubois, M.A.
- Marriage & Family Therapist
- Midwest City, OK
National Provider Identifier
1326278581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positively Psyched Counseling Services LLC | Current | 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.
-
- Mental Health Counselor
- Midwest City, OK
- NPI 1548021496
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.