KATHY EDDY (M.S.) – Student in an Organized Health Care Education/Training Program, NPI 1033667209

KATHY EDDY (M.S.) is a healthcare provider. based in Chickasha, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.S.. The NPI Number for KATHY EDDY (M.S.) is 1033667209

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATHY EDDY (M.S.)
NPI
1033667209
Phone
(405) 222-0622
Address
804 W CHOCTAW AVE
Enumeration Date
16 September 2016
Last Update Date
16 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4054247711
Graduation Year
2016 (10 years ago)
PAC ID
0446600829
Group Practice PAC ID
3173514387
Professional Enrollment ID
I20231227002151
Address ID
OK731055104OK4420XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

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Provider Addresses for KATHY EDDY (M.S.)

  • 804, West Choctaw Avenue, Chickasha, Grady County, Oklahoma, 73018, United States

    CHICKASHA, OK 730182310

    Phone: (405) 222-0622

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231227002151IMental Health CounselorOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73018)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173514387View full group profile
NameSpecialtyState
-OK
Nurse PractitionerOK
P S Y C H I A T R YOK
Nurse PractitionerIA
Mental Health CounselorOK
P S Y C H I A T R YCA
Clinical Social WorkerOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

Does KATHY EDDY (M.S.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHY EDDY (M.S.) uses 1033667209.
Is KATHY EDDY (M.S.) still practicing?
KATHY EDDY (M.S.) is currently listed as active in the public NPI registry.
What healthcare role does KATHY EDDY (M.S.) hold?
Scheduling teams often label KATHY EDDY (M.S.) under Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What address line appears for KATHY EDDY (M.S.)?
KATHY EDDY (M.S.)'s geographic hint is Chickasha, Oklahoma in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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