Henry Osayamen Evbuomwan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5893 Issued in OK

Practice address

1330 N Classen Blvd Ste a-214
Oklahoma City, OK 73106-6835

Phone

(405) 601-6710

Fax

(405) 601-6711

NPI assigned

Jul 3, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Counseling Solutions & Interventions, LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1922316819

  OK

  Medicare reassignment NPD

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1649534744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NE 122ND ST APT 2515",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148139",
            "telephone_number": "405-836-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N CLASSEN BLVD STE A-214",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066835",
            "telephone_number": "405-601-6710",
            "fax_number": "405-601-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVBUOMWAN",
        "first_name": "HENRY",
        "middle_name": "OSAYAMEN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samilya Evans
• Sarah Anne Evans
• Taylor Scott Evans
• Evas Home Health LLC
• Henrietta Ngozi Evbuomwan, MSC, LPC
• Everest Pharmacy LLC
• Everest Rehabilitation Hospital Okc, LLC
• Hannah J Everett
• Jamie L Everett
• Leisha V Everett, DDS

• All providers in Oklahoma City, OK
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.