Organization Active NPI

Positively Psyched Counseling Services LLC

  • Mental Health Counselor
  • Midwest City, OK
National Provider Identifier
1548021496
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
POSITIVELY PSYCHED COUNSELING SERVICES LLC
Practice address
351 N Air Depot Blvd Ste J
Midwest City, OK 73110-1760
Phone
(405) 979-0431
Fax
(405) 400-2624
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Elizabeth A Dubois, MFTNPI 1326278581
Title
Owner/Therapist
Phone
(405) 979-0431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

351 N Air Depot Blvd Ste J
Midwest City, OK 73110-1760

Mailing address

351 N Air Depot Blvd Ste J
Midwest City, OK 73110-1760
Phone (405) 979-0431

Other names 1

  • ELIZABETH A DUBOIS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229000479 OK Part B Supplier - Clinic/Group Practice 4385089325 Receives reassigned benefits from 1 practitioner
Practice locations: Midwest City, OK

National Provider Directory

National Provider Directory

Locations

351 N Air Depot Blvd
Ste J
Oklahoma City, OK 73110
Phone (405) 979-0431

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1548021496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N AIR DEPOT BLVD STE J",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731101760",
            "telephone_number": "405-979-0431",
            "fax_number": "405-400-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N AIR DEPOT BLVD STE J",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731101760",
            "telephone_number": "405-979-0431",
            "fax_number": "405-400-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVELY PSYCHED COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "405-979-0431",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELIZABETH A DUBOIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.