KI BOIS COMMUNITY ACTION FOUNDATION


Address: 628 E Creek Ave, Mcalester, OK 74501-6930
Phone: 9184213500

KI BOIS COMMUNITY ACTION FOUNDATION (NPI# 1093145914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093145914
Entity Type Organization
Organization Name KI BOIS COMMUNITY ACTION FOUNDATION
Other Organization Name THE OAKS REHABILITATIVE SERVICES CENTER
Practice Address 628 E Creek Ave
Mcalester
OK 74501-6930
Mailing Address Po Box 1404
Mcalester
OK 74502-1404
Practice Telephone 9184213500
Practice Fax Number 9184232370
Mailing Telephone 9184213500
Mailing Fax Number 9184232370
Enumeration Date 2013-11-13
Last Update Date 2013-11-13
Authorized Official Name MR. R. CARROLL HUGGINS (DIRECTOR/CEO)
Authorized Official Telephone 9189673325
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 01-1372703 OK Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 100680370U 05

Other Provider/Organization Names

Other Name Type Code
The Oaks Rehabilitative Services Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1760544076 Ki Bois Community Action Foundation Community/Behavioral Health 204 Wall St, Poteau, OK 74953-4400 2006-12-14
1215099510 Ki Bois Community Action Foundation Community/Behavioral Health 107 Mckinley St, Eufaula, OK 74432-3052 2006-12-14
1386870293 Ki Bois Community Action Foundation Community/Behavioral Health 309 W Main St, Wilburton, OK 74578-4047 2009-06-05
1801055942 Ki Bois Community Action Foundation Community/Behavioral Health 1407 Ne D St, Stigler, OK 74462-2815 2008-06-04
1669533634 Ki Bois Community Action Foundation Community/Behavioral Health 628 E Creek Ave, Mcalester, OK 74501-6930 2006-12-13

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities KI BOIS COMMUNITY ACTION FOUNDATION INC 200 Se A St, Stigler, OK 74462-2418

Office Location

Street Address 628 E CREEK AVE
City MCALESTER
State OK
Zip Code 74501-6930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245276898 Sherri Fabry Counselor 628 E Creek Ave, Mcalester, OK 74501-6930 2006-06-21
1225664329 Aj Thomason Counselor 628 E Creek Ave, Mcalester, OK 74501-6930 2020-03-20
1124659230 Shelby Lynne Adkins Case Manager/Care Coordinator 628 E Creek Ave, Mcalester, OK 74501-6930 2020-01-28
1275170490 Danielle Kalyn Bowers Counselor 628 E Creek Ave, Mcalester, OK 74501-6930 2019-12-06
1578090080 Kourtnee Anderson Counselor 628 E Creek Ave, Mcalester, OK 74501-6930 2017-05-15
1275986853 Amanda Dunn Counselor 628 E Creek Ave, Mcalester, OK 74501-6930 2016-07-19
1427413293 Benjamin Keith Comley Peer Specialist 628 E Creek Ave, Mcalester, OK 74501-6930 2015-12-22
1265842793 Shawnda Renee Woodard Counselor 628 E Creek Ave, Mcalester, OK 74501-6930 2014-05-06
1558783316 Jeanne Cuevas Counselor 628 E Creek Ave, Mcalester, OK 74501-6930 2014-01-14
1235409830 Jessica K Mordecai Counselor 628 E Creek Ave, Mcalester, OK 74501-6930 2012-01-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371466 Belfair of Mcalester LLC Assisted Living Facility 802 Windsong Way, Mcalester, OK 74501 2019-11-22
1912425018 Jennifer Bird Case Manager/Care Coordinator 34 Harpoon Dr, Mcalester, OK 74501 2017-09-08
1073033502 Natalie Aline Kitchell Case Manager/Care Coordinator 1303 Hickory Bend, Mcalester, OK 74501 2017-06-26
1265964308 Phoenix Counseling and Assessment Center, Inc. Community/Behavioral Health 32 E Cherokee, Suite 104, Mcalester, OK 74501 2017-03-29
1215302799 Christine Herron Physical Therapy Assistant 1029 E. Washington Ave, Mcalester, OK 74501 2015-12-09
1437538212 Lauren White Speech-Language Pathologist 205 South 2nd, Mcalester, OK 74501 2015-05-26
1316344096 Ashley Brooke Monks Speech-Language Pathologist 557 Broken Feather Lane, Mcalester, OK 74501 2014-11-25
1821407644 William Joseph Kinderknecht Family Medicine 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 2014-08-06
1467795153 Kensey Mckay Holman Occupational Therapist 903 E Monroe Ave Ste 200, Mcalester, OK 74501 2013-04-01
1821334418 Delors J Simmons Counselor 600 North D St, Mcalester, OK 74501 2012-12-31
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851777627 Andrea Faye Reid Counselor 1100 E Washington Ave, Mcalester, OK 74501-4920 2015-08-04
1467859157 Brian Edward Peoples Counselor 206 E Seminole Ave, Mcalester, OK 74501-5856 2014-11-25
1235531112 Ashley L Brown Counselor 1211 E Reynolds Rd, Mcalester, OK 74501-7153 2014-09-22
1427304229 Sonya J. Fry Counselor 721 South George Nigh Expressway, Mcalester, OK 74501 2012-07-30
1194095364 Felicia Renee Pearce Counselor 1602 N D St, Mcalester, OK 74501-2314 2012-01-05
1285919944 Lesa King Counselor 1306 E Carl Albert Pkwy, Mcalester, OK 74501-5130 2011-10-13
1790004026 Stephaine Lynn Vernor Counselor 704 W Carl Albert Pkwy Unit 8, Mcalester, OK 74501-4465 2010-05-26
1851610596 Camille Cappo Lalli Counselor 1710 Louise Dr, Mcalester, OK 74501-7032 2010-05-20
1235457383 Abbey Leigh Fowler Counselor 1103 Fleming Ave Apt 1, Mcalester, OK 74501-3207 2010-05-13
1356672422 Deana Laverne Pilgrim Counselor 4460 Mcalester Lake Rd, Mcalester, OK 74501-8888 2010-01-28
Find all providers in MCALESTER

Competitor

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City MCALESTER
Zip Code 74501

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Dataset Information

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.

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