Prince O Ezeala

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1713 Victoria Dr
Edmond, OK 73003-3860

Phone

(405) 471-2298

NPI assigned

Oct 26, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Promises Inc.

  • Community/Behavioral Health Agency
  • Edmond, OK
  • NPI 1528361458
  NPD (past)

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1437459229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NE 46TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731053314",
            "telephone_number": "405-270-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 VICTORIA DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033860",
            "telephone_number": "405-471-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEALA",
        "first_name": "PRINCE",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-26",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyesguys LLC
• Ez Education, LLC
• Chief Ezeala, B.A.
• Eugene Mbadiwe Ezeala
• Hippolitus Ezeala
• F & a Chaudry Enterprises Inc
• Lia C Faber
• Fabianas' Enterprises, Inc.
• Megan Fabrizius
• Dalayna Diane Fain

• Mental Health Counselor in Edmond, OK
• Providers in Edmond, 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 Oct 15, 2013; 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.