WILLIE JAMES MAYS JR. (NPI# 1174742514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174742514 |
| Entity Type | Individual |
| Full Name | WILLIE JAMES MAYS JR. |
| Credential | MA |
| Practice Address |
198 East Almar Chickasha OK 73023-0829 |
| Mailing Address |
Po Box 829 Chickasha OK 73023-0829 |
| Practice Telephone | 4052225437 |
| Practice Fax Number | 4052225441 |
| Mailing Telephone | 4052225437 |
| Mailing Fax Number | 4052225441 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | ICIS | 3WJM65 | 01 |
| Street Address |
198 EAST ALMAR |
| City | CHICKASHA |
| State | OK |
| Zip Code | 73023-0829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790983617 | Shantel Denise Burns | Counselor | 198 East Almar, Chickasha, OK 73018 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669667085 | Steve Edgar Burdex | Counselor | 198 East Almar Ave., Chickasha, OK 73023-0829 | 2007-09-10 |
| 1932304334 | Sheila Wilson | Counselor | 198 E. Almar, Chickasha, OK 73023-0829 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467014068 | Stephen D Byrd | Counselor | 415 W Iowa Ave, Chickasha, OK 73018-3443 | 2019-07-03 |
| 1053975979 | David Brent Moore | Speech-Language Pathologist | 2201 W Iowa Ave Ste 5, Chickasha, OK 73018-2732 | 2019-04-25 |
| 1972063675 | Eric Joseph Anderson | Peer Specialist | 3310 W Idaho Ave, Chickasha, OK 73018-6005 | 2019-03-20 |
| 1174095400 | Therapies United | Speech-Language Pathologist | 301 S 2nd St, Chickasha, OK 73018-3600 | 2018-12-27 |
| 1134690514 | Kaletha Lynell Hightower | Nurse Practitioner | 702 W Texas Ave, Chickasha, OK 73018-4415 | 2018-12-11 |
| 1285103010 | Heather Michelle Rowell | Nurse Practitioner | 411 W Grand Ave, Chickasha, OK 73018-5862 | 2018-11-21 |
| 1861968745 | Alexandra Ross | Occupational Therapist | 1528 W Minnesota Ave, Chickasha, OK 73018-2956 | 2018-10-18 |
| 1518469741 | Central Oklahoma Home Healthcare Inc. | Home Health | 401 W Chickasha Ave Ste 411, Chickasha, OK 73018-2485 | 2018-03-03 |
| 1972011880 | Katherine June Cate | Case Manager/Care Coordinator | 2472 State Highway 92, Chickasha, OK 73018-7012 | 2018-01-12 |
| 1225559396 | Alissa Brummett | Case Manager/Care Coordinator | 8 Hillcrest Dr, Chickasha, OK 73018-6230 | 2017-06-29 |
| Find all providers in CHICKASHA | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497097034 | Brittany Leah Abshire | Counselor | 1327 Park Ave, Chickasha, OK 73018-6628 | 2013-03-21 |
| 1669667085 | Steve Edgar Burdex | Counselor | 198 East Almar Ave., Chickasha, OK 73023-0829 | 2007-09-10 |
| 1932304334 | Sheila Wilson | Counselor | 198 E. Almar, Chickasha, OK 73023-0829 | 2007-06-18 |
| 1073037842 | Emily Brooke Perkins | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2017-08-02 |
| 1710340401 | Lacey Bates | Counselor | 198 E Almar Dr, Chickasha, OK 73018-7327 | 2016-03-31 |
| 1508298282 | Nathan Bauman | Counselor | 198 E Almar Dr, Chickasha, OK 73018-7327 | 2013-08-05 |
| 1881934297 | Chance D Wilson | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2013-02-21 |
| 1346588746 | Bibi Ann Mabry | Counselor | 198 E Almar Dr, Chickasha, OK 73018-7327 | 2013-01-21 |
| 1053695064 | Robyn M Williams | Counselor | 210 S 4th St, Chickasha, OK 73018-3460 | 2011-10-10 |
| 1154619690 | Bailee A Taylor | Counselor | 117 S 7th St, Chickasha, OK 73018-3301 | 2011-07-19 |
| Find all providers in CHICKASHA | ||||
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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.