SEQUELCARE OF OKLAHOMA, LLC (NPI# 1063576122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063576122 |
| Entity Type | Organization |
| Organization Name | SEQUELCARE OF OKLAHOMA, LLC |
| Practice Address |
107 S High St Antlers OK 74523-3818 |
| Mailing Address |
Po Box 1030 Antlers OK 74523-1030 |
| Practice Telephone | 5802982830 |
| Mailing Telephone | 5802982830 |
| Mailing Fax Number | 2802986723 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-12-31 |
| Authorized Official Name | DOROTHY METCALF (EXEC DIR) |
| Authorized Official Telephone | 5802982830 |
| Authorized Official Credential | MSW,LCSW,LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100744370P | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1518021286 | Sequelcare of Oklahoma, LLC | Clinic/Center | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-20 |
| 1740344290 | Sequelcare of Oklahoma, LLC | Clinic/Center | 411 S Central Ave, Idabel, OK 74745-6059 | 2006-12-20 |
| 1861556342 | Sequelcare of Oklahoma, LLC | Clinic/Center | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-20 |
| 1720142532 | Sequelcare of Oklahoma, LLC | Case Management | 100 N Broadway St, Broken Bow, OK 74728-3934 | 2006-12-19 |
| 1801058680 | Sequelcare of Oklahoma, LLC | Community/Behavioral Health | 103 N 3rd Ave, Durant, OK 74701-4700 | 2008-07-02 |
| 1073775854 | Sequelcare of Oklahoma, LLC | Community/Behavioral Health | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2008-07-02 |
| 1194889261 | Sequelcare of Oklahoma, LLC | Case Management | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-21 |
| 1639233703 | Sequelcare of Oklahoma, LLC | Clinic/Center | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-21 |
| 1891859963 | Sequelcare of Oklahoma, LLC | Case Management | 411 S Central Ave, Idabel, OK 74745-6059 | 2006-12-21 |
| Street Address |
107 S HIGH ST |
| City | ANTLERS |
| State | OK |
| Zip Code | 74523-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033165667 | Mfi Enterprises Dba Couseling Center of Se Oklahoma | Counselor | 107 S High St, Antlers, OK 74523-3818 | 2006-05-25 |
| 1427535707 | Misty Trent | Peer Specialist | 107 S High St, Antlers, OK 74523-3818 | 2018-07-19 |
| 1437644218 | Nikki Nichole Merker | Clinic/Center | 107 S High St, Antlers, OK 74523-3818 | 2018-06-25 |
| 1073007258 | Stephanie Hampton | Health Educator | 107 S High St, Antlers, OK 74523-3818 | 2018-06-20 |
| 1134627524 | Jasmine Amoni Dirks | Case Manager/Care Coordinator | 107 S High St, Antlers, OK 74523-3818 | 2018-01-31 |
| 1154839892 | Amanda Renee Mckitrick | Case Manager/Care Coordinator | 107 S High St, Antlers, OK 74523-3818 | 2018-01-16 |
| 1942715198 | Shanna Peretta Thompson | Specialist | 107 S High St, Antlers, OK 74523-3818 | 2017-12-11 |
| 1619412343 | Daryl Allen Mitchell | Social Worker | 107 S High St, Antlers, OK 74523-3818 | 2017-01-04 |
| 1831634203 | Desiree Meredith-menchaca | Case Manager/Care Coordinator | 107 S High St, Antlers, OK 74523-3818 | 2016-12-21 |
| 1124560610 | Deidra Dewitt I | Counselor | 107 S High St, Antlers, OK 74523-3818 | 2016-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942793351 | Terry Jean Draper | Nurse Practitioner | 416020 E 1951 Rd, Antlers, OK 74523 | 2018-06-11 |
| 1134628456 | Breiana Jacobs | Case Manager/Care Coordinator | 107 South High St, Antlers, OK 74523 | 2018-02-02 |
| 1174072482 | Crossroads 1010 LLC | Community/Behavioral Health | 193908 Us Hwy 271, Antlers, OK 74523 | 2016-09-27 |
| 1700277092 | Katherine Jill Maple | Registered Nurse | 506 Hwy 271 North, Antlers, OK 74523 | 2015-02-09 |
| 1366884975 | Jessica L. Rowan | Speech-Language Pathologist | 426297 State Highway 3, Antlers, OK 74523 | 2013-07-24 |
| 1235432444 | Charis Kay Griffin | Psychologist | 903 West Main St., Antlers, OK 74523 | 2010-12-09 |
| 1629213889 | Hometown Quality Care, Inc | Home Health | 191475 N 4140 Rd Ste 3, Antlers, OK 74523 | 2008-12-02 |
| 1841491214 | Zen Gee Counseling & Psychological Serv LLC | Community/Behavioral Health | 608 Highway 271 North, Antlers, OK 74523 | 2007-05-31 |
| 1376689422 | Marcia Leigh Armstrong | Counselor | 608 Hwy 271 North, Antlers, OK 74523 | 2007-01-29 |
| 1831247691 | Chance J Lawless | Dentist | 412 N Hwy 271, Antlers, OK 74523 | 2007-01-08 |
| Find all providers in zip 74523 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639239023 | Providence Service Corporation of Oklahoma | Clinic/Center | 301 N High St, Antlers, OK 74523-2238 | 2006-12-08 |
| 1437644218 | Nikki Nichole Merker | Clinic/Center | 107 S High St, Antlers, OK 74523-3818 | 2018-06-25 |
| 1174743470 | Sequelcare of Oklahoma | Clinic/Center | 107 S High St, Antlers, OK 74523-3818 | 2007-04-27 |
| 1245450543 | Sequelcare of Oklahoma | Clinic/Center | 107 S High St, Antlers, OK 74523-3818 | 2007-04-27 |
| 1154541456 | Sequelcare of Oklahoma | Clinic/Center | 107 S High St, Antlers, OK 74523-3818 | 2007-04-27 |
| 1326265539 | Sequelcare of Oklahoma | Clinic/Center | 107 S High St, Antlers, OK 74523-3818 | 2007-04-19 |
| 1528118866 | Southern Oklahoma Assistance and Resources Foundation | Clinic/Center | 107 S High St, Antlers, OK 74523-3818 | 2007-01-11 |
| 1164572400 | Southern Oklahoma Assistance and Resources Foundation | Clinic/Center | 107 S High St, Antlers, OK 74523-3818 | 2007-01-11 |
| 1518017854 | Southern Oklahoma Assistance and Resources Foundation | Clinic/Center | 107 S High St, Antlers, OK 74523-3818 | 2007-01-11 |
| 1679637656 | Southern Oklahoma Assistance and Resources Foundation | Clinic/Center | 107 S High St, Antlers, OK 74523-3818 | 2006-12-21 |
| Find all providers in ANTLERS | ||||
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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.