Active NPI
Christian Eversole
- Addiction (Substance Use Disorder) Counselor
- El Reno, OK
National Provider Identifier
1366034092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1478
- Practice address
- 7777 E US RT 66
El Reno, OK 73036 - Phone
- (352) 494-7837
- NPI assigned
- Feb 4, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1478 | OK | Primary |
Addresses
Primary practice location
7777 E US RT 66
El Reno, OK 73036
Mailing address
7777 E US RT 66
El Reno, OK 73036
Phone (352) 494-7837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curis Functional Health | Current | Accepting new patients | |
| Hughes Chiropractic & Wellness PLLC | Current | Accepting new patients |
Locations
16618 N Pennsylvania Ave
Edmond, OK 73012
Phone (405) 726-8500
3314 E 46th St
Ste 101
Tulsa, OK 74135
Phone (918) 488-0660
4801 Frankford Rd
Ste 300
Dallas, TX 75287
Phone (214) 390-3259
Organizations & group practices 2
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.
-
- Chiropractor
- Edmond, OK
- NPI 1033464300
-
- Chiropractor
- Dallas, TX
- NPI 1023508116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1366034092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 E US RT 66",
"city": "EL RENO",
"state": "OK",
"postal_code": "73036",
"telephone_number": "352-494-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 E US RT 66",
"city": "EL RENO",
"state": "OK",
"postal_code": "73036",
"telephone_number": "352-494-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSOLE",
"first_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-04",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "1478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Reno, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.