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EVALLISON EDDY LPC
NPI 1457663759
Counselor - Mental Health in Pryor, OK

Active since July 02, 2010PECOS EnrolledAccepts Medicare Assignment
231 E GRAHAM AVE, PRYOR, OK 74361(918) 825-1405(918) 825-1406 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 18, 2016, Feb 9, 2016 (2 updates tracked since 2016).

About Evallison Eddy Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVALLISON EDDY LPC (NPI 1457663759) is an individual mental health provider in Pryor, Oklahoma and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1457663759
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEVALLISON EDDYCredential: LPC
Location Address231 E GRAHAM AVEPryor, OK 74361-2436
Mailing Address231 E Graham AvePryor, OK 74361-2436 · (918) 825-1405 · Fax (918) 825-1406
Phone(918) 825-1405
Fax(918) 825-1406
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 2, 2010
Last NPPES UpdateMarch 18, 20162 updates tracked since enumeration
✔ NPI 1457663759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
231 E GRAHAM AVE, Pryor, OK 74361
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evallison Eddy Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012455801
PECOS Enrollment IDI20240812001586
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Evallison Eddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jeffrey K Mcilroy MD Inc
15 mi
Mental Health (Including Community Mental Health Center)
2990 N SIOUX AVE
Claremore, OK 74017
  • Reassigned Medicare billing, Oklahoma enrollment
  • 23 clinicians in this Medicare group
NPI 1053531830 (918) 342-2622

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY PRUITT
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
MICKI ERWIN
Licensed Practical Nurse
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (844) 458-2100
TEDDY ALLEN PENNYPACKER RN
Registered Nurse (Case Management)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
HILARY NICOLE ADMIRE
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JACQUELINE MARIE FLYNN
Counselor (Mental Health)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JO ANNE RENEE HENDERSON BA
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
SHANNON RENE' STABERS
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1406
LISA MIKSELL
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evallison Eddy's NPI number?

The NPI number for Evallison Eddy is 1457663759. It was assigned to this individual provider in the NPPES registry on July 2, 2010.

Where is Evallison Eddy located?

Evallison Eddy practices at 231 E Graham Ave, Pryor, OK 74361. The listed phone number is (918) 825-1405.

What is Evallison Eddy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Evallison Eddy enrolled in Medicare?

Yes. Evallison Eddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Evallison Eddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evallison Eddy reassigns Medicare benefits to Jeffrey K Mcilroy MD Inc (Claremore, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evallison Eddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evallison Eddy accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Evallison Eddy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evallison Eddy was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.