Eva Hartley, LADC, LPC (US)

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

585 Issued in OK

Practice address

414 W Monroe St
Purcell, OK 73080-3208

Phone

(405) 420-2469

NPI assigned

Jul 1, 2009

Sex

Female

Sole proprietor

Yes

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.

• Eva Hartley LPC Ladc PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Purcell, OK
  • NPI 1467830554
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Mrs. Ethel Eva Hartley Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2012.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1457589194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 216",
            "city": "WANETTE",
            "state": "OK",
            "postal_code": "74878",
            "telephone_number": "405-420-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W MONROE ST",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730803208",
            "telephone_number": "405-420-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "EVA",
        "name_prefix": "Ms.",
        "credential": "LADC, LPC (US)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "585",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETHEL",
            "last_name": "HARTLEY",
            "middle_name": "EVA",
            "prefix": "MRS.",
            "credential": "LADC, LPC (US)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeremy Doug Gray
• Green Life Health and Wellness PLLC
• Billy Jack Gregg
• Caroline Gwynn
• Amanda Diane Harrington, LMFT
• Marvin Ryan Harvey, MD
• Healthback of Central Oklahoma, Inc.
• Healthcare Innovation in-Home Services of Purcell, LLC
• Healthcare Innovations in-Home Services of Purcell LLC
• Helping Hands Home Care, PLLC

• All providers in Purcell, OK
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.