Individual provider Active NPI

Trina Yolanda Epperson, BS, CADC- US

  • Addiction (Substance Use Disorder) Counselor
  • Lawton, OK
National Provider Identifier
1578088753
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1578088753 Issued in OK
Practice address
25 NW Village Green Dr Apt 320
Lawton, OK 73505-5993
Phone
(580) 280-5764
Fax
(580) 280-5764
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 1578088753 OK
Addiction (Substance Use Disorder) Counselor 101YA0400X 1578088753 OK Primary

Addresses

Primary practice location

25 NW Village Green Dr Apt 320
Lawton, OK 73505-5993

Mailing address

25 NW Village Green Dr Apt 320
Lawton, OK 73505-5993
Phone (580) 280-5764

Other names 1

  • Mrs. Trina Yolanda Washington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
1578088753OKMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1578088753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NW VILLAGE GREEN DR APT 320",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055993",
            "telephone_number": "580-280-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NW VILLAGE GREEN DR APT 320",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055993",
            "telephone_number": "580-280-5764",
            "fax_number": "580-280-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "TRINA",
        "middle_name": "YOLANDA",
        "name_prefix": "Ms.",
        "credential": "BS, CADC- US",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "1578088753",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1578088753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRINA",
            "last_name": "WASHINGTON",
            "middle_name": "YOLANDA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.