Individual provider Active NPI

Christian Eversole

  • Addiction (Substance Use Disorder) Counselor
  • El Reno, OK
National Provider Identifier
1366034092
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1478 Issued in OK
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

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curis Functional Health CurrentSince Oct 1, 2025 Accepting new patients
Hughes Chiropractic & Wellness PLLC CurrentSince Oct 1, 2025 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.

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

Verify at the official NPI Registry.