Individual provider Active NPI

Melissa Eads

  • Counselor
  • Tulsa, OK
National Provider Identifier
1487144580
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
9820 E 41St St Ste 400
Tulsa, OK 74146-3616
Phone
(866) 926-6552
Fax
(918) 289-0551
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OK Primary

Addresses

Primary practice location

9820 E 41St St Ste 400
Tulsa, OK 74146-3616

Mailing address

9702 S 78TH East Ave Apt 9105
Tulsa, OK 74133-6949

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227002029 OK Practitioner - Mental Health Counselor 9830549211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Recovery in Oklahoma LLCGroup PAC ID 2567830318, 10 clinicians

Practice addresses (Care Compare)

4835 S Fulton Ave
Suite 100
Tulsa, OK 74135-6976
Phone (918) 591-3071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7753OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery in Oklahoma LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

4835 S Fulton Ave
Ste 100
Tulsa, OK 74135
Phone (918) 591-3071

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.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1487144580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9702 S 78TH EAST AVE APT 9105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 E 41ST ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463616",
            "telephone_number": "866-926-6552",
            "fax_number": "918-289-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADS",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.