MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA (NPI# 1053747253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053747253 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA |
| Practice Address |
1219 K St Nw Ardmore OK 73401-1801 |
| Practice Telephone | 5807984523 |
| Mailing Telephone | 5807984523 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| Authorized Official Name | JUNE ANN STANDRIDGE (CASE MANAGER) |
| Authorized Official Telephone | 5807984523 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235394792 | Mental Health Services of Southern Oklahoma | Case Management | 93 Broadlawn Village, Ardmore, OK 73401-1722 | 2008-07-24 |
| 1922266964 | Mental Health Services of Southern Oklahoma | Community/Behavioral Health | #2 Broadlawn, Ardmore, OK 73402-1722 | 2008-05-27 |
| 1144404252 | Mental Health Services of Southern Oklahoma | Clinic/Center | 91 Broadlawn, Ardmore, OK 73401 | 2007-12-26 |
| 1780867812 | Mental Health Services of Southern Oklahoma | Clinic/Center | 209 E Wilson St, Tishomingo, OK 73460-2200 | 2007-12-12 |
| 1760528970 | Mental Health Services of Southern Oklahoma | Case Management | 200 Wanda St, Marietta, OK 73448 | 2007-01-29 |
| 1710023924 | Mental Health Services of Southern Oklahoma | Clinic/Center | 93 Broadlawn, Ardmore, OK 73401-6337 | 2007-01-29 |
| 1992841100 | Mental Health Services of Southern Oklahoma | Case Management | 111 E 12th St, Ada, OK 74820-6501 | 2007-01-29 |
| 1972659910 | Mental Health Services of Southern Oklahoma | Clinic/Center | 603 S 1st St, Madill, OK 73446-3807 | 2007-01-25 |
| 1831245885 | Mental Health Services of Southern Oklahoma | Clinic/Center | 414 W Muskogee Ave, Sulphur, OK 73086-4614 | 2007-01-25 |
| 1518997097 | Mental Health Services of Southern Oklahoma | Community/Behavioral Health | 2530 S. Commerce, Building A, Ardmore, OK 73401-5519 | 2006-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA | 1012 14th Ave Nw, Ardmore, OK 73401-5734 |
| Street Address |
1219 K ST NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225378623 | Lighthouse Behavioral Wellness Centers | Community/Behavioral Health | 1219 K St Nw, Ste. #2, Ardmore, OK 73401-1801 | 2013-02-21 |
| 1962035493 | Lori J Heilbrun | Case Manager/Care Coordinator | 1219 K St Nw, Ardmore, OK 73401-1801 | 2020-02-12 |
| 1710519822 | Julie Shoemake | Behavior Technician | 1219 K St Nw, Ardmore, OK 73401-1801 | 2020-02-06 |
| 1326679358 | Nannette Arlien Purifoy | Case Manager/Care Coordinator | 1219 K St Nw, Ardmore, OK 73401-1801 | 2020-01-29 |
| 1376173633 | Bianca Hamilton | Case Manager/Care Coordinator | 1219 K St Nw, Ardmore, OK 73401-1801 | 2020-01-24 |
| 1164060075 | Naomi Brown | Case Management | 1219 K St Nw, Ardmore, OK 73401-1801 | 2019-12-11 |
| 1619525813 | Rita Ann Zimmerman | Case Manager/Care Coordinator | 1219 K St Nw, Ardmore, OK 73401-1801 | 2019-08-30 |
| 1386113504 | Meagan Rachelle Fowler | Technician | 1219 K St Nw, Ardmore, OK 73401-1801 | 2018-11-16 |
| 1750865531 | Timothy Wayne Ramsey | Peer Specialist | 1219 K St Nw, Ardmore, OK 73401-1801 | 2018-09-18 |
| 1689170060 | Sierra Lorene Gaines | Specialist/Technologist | 1219 K St Nw, Ardmore, OK 73401-1801 | 2018-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223453 | 20th District Drug Court | Case Management | 39 N Washington St Ste 219, Ardmore, OK 73401-7056 | 2019-12-30 |
| 1932518701 | Jeffrey Gaylor | Case Management | 921 3rd Ave Sw, Ardmore, OK 73401-4810 | 2014-08-06 |
| 1477964161 | Kristi Ann Tippett | Case Management | 59 Seven Sisters Hills Rd, Ardmore, OK 73401-8105 | 2014-05-15 |
| 1235394792 | Mental Health Services of Southern Oklahoma | Case Management | 93 Broadlawn Village, Ardmore, OK 73401-1722 | 2008-07-24 |
| 1518002641 | Southern Oklahoma Treatment Services, Inc. | Case Management | 713 12th Ave Nw, Ardmore, OK 73401-5705 | 2007-02-20 |
| 1427193556 | Southern Oklahoma Treatment Services, Inc. | Case Management | 32 North Washington, Ardmore, OK 73401 | 2007-02-20 |
| 1073509022 | Mental Health Services of Southern Oklahoma | Case Management | 2530 S Commerce St, Building B, Ardmore, OK 73401-5519 | 2005-09-26 |
| 1164060075 | Naomi Brown | Case Management | 1219 K St Nw, Ardmore, OK 73401-1801 | 2019-12-11 |
| 1477071348 | Kisha Williams | Case Management | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2017-08-31 |
| 1265950299 | Daela Echols | Case Management | 2530 S Commerce St, Ardmore, OK 73401-5519 | 2017-08-30 |
| Find all providers in ARDMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.