Albus Dimabo Evans-Wilcox, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6701 Broadway Ext Ste 210
Oklahoma City, OK 73116-8213

Phone

(405) 242-2242

Fax

(405) 286-1730

NPI assigned

Aug 11, 2011

Last updated

Aug 11, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quest Mhsa

  • Community/Behavioral Health Agency
  • Antlers, OK
  • NPI 1174776819
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1922387653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13009 PEREGRINE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705426",
            "telephone_number": "405-703-0622",
            "fax_number": "405-703-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 BROADWAY EXT STE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731168213",
            "telephone_number": "405-242-2242",
            "fax_number": "405-286-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS-WILCOX",
        "first_name": "ALBUS",
        "middle_name": "DIMABO",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Diane Eubanks
• Marianna Gail Eubanks, CRNA
• Nyoka Eugene
• Tiffany Eustace, SLP
• Evanescence Counseling PLLC
• A'Anna Evans
• Abigail Victoria Evans, M.A., CCC-SLP
• Alexander Evans, MEDICAL STUDENT
• Allison Evans
• Alysa Crigler Evans, MD

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.