CREOKS MENTAL HEALTH SERVICES (NPI# 1184929697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184929697 |
| Entity Type | Organization |
| Organization Name | CREOKS MENTAL HEALTH SERVICES |
| Practice Address |
101 W Quesenbury Ave Sallisaw OK 74955-3613 |
| Mailing Address |
323 W 6th St Okmulgee OK 74447-5019 |
| Practice Telephone | 9186400199 |
| Mailing Telephone | 9187569411 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | WADE HUNTER (DIRECTOR OF PROFESSIONAL SERVICES) |
| Authorized Official Telephone | 9186980576 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 100734620 | OK | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712316 | Creoks Mental Health Services | Clinic/Center | 19320 E Admiral Pl Ste B, Catoosa, OK 74015-3240 | 2020-02-21 |
| 1528603198 | Creoks Mental Health Services | Clinic/Center | 186 W Court St, Atoka, OK 74525-1822 | 2019-11-07 |
| 1689219263 | Creoks Mental Health Services | Community/Behavioral Health | 2807 N Broadway St Ste C, Poteau, OK 74953-5557 | 2019-11-07 |
| 1699310276 | Creoks Mental Health Services | Community/Behavioral Health | 4704 Nw Motif Manor Blvd Ste 4, Lawton, OK 73505-4800 | 2019-11-07 |
| 1598316358 | Creoks Mental Health Services | Clinic/Center | 2548 E Kenosha St, Broken Arrow, OK 74014-6712 | 2019-09-24 |
| 1225333826 | Creoks Mental Health Services | Community/Behavioral Health | 716 S 2nd St Ste 101, Stilwell, OK 74960-4806 | 2011-01-13 |
| 1043331499 | Creoks Mental Health Services | Community/Behavioral Health | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2007-04-03 |
| 1841311289 | Creoks Mental Health Services | Community/Behavioral Health | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 | 2007-04-03 |
| 1568004232 | Creoks Mental Health Services | Pharmacy | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 | 2019-10-14 |
| 1104360692 | Creoks Mental Health Services | Community/Behavioral Health | 203 2nd Ave Sw, Miami, OK 74354-6818 | 2016-12-19 |
| Street Address |
101 W QUESENBURY AVE |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073832119 | Johanna Lea | Social Worker | 101 W Quesenbury Ave, Sallisaw, OK 74955-3613 | 2010-05-28 |
| 1336706118 | Grand Lake Medical and Wellness Corp | Clinic/Center | 101 W Quesenbury Ave, Sallisaw, OK 74955-3613 | 2019-05-28 |
| 1023453883 | Tammy Doty | Counselor | 101 W Quesenbury Ave, Sallisaw, OK 74955-3613 | 2013-05-07 |
| 1548529852 | David Griffin | Counselor | 101 W Quesenbury Ave, Sallisaw, OK 74955-3613 | 2012-05-07 |
| 1063711174 | Christina Mikail Stewart | Counselor | 101 W Quesenbury Ave, Sallisaw, OK 74955-3613 | 2011-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649637422 | Innovative Behavioral Health LLC | Community/Behavioral Health | 2370 S Kerr Blvd, Sallisaw, OK 74955-7031 | 2016-01-25 |
| 1669602173 | Eagle Ridge Institute | Community/Behavioral Health | 1515 W Chickasaw, Sallisaw, OK 74955 | 2009-07-17 |
| 1508980673 | Meadow Brook Outpatient Treatment Center #2 | Community/Behavioral Health | 212 E. Choctaw, Sallisaw, OK 74955-0000 | 2007-03-16 |
| 1750677746 | Delia Therapy and Counseling | Community/Behavioral Health | 202 E Cherokee Ave, Sallisaw, OK 74955-4600 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
| 1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
| 1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
| 1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
| 1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
| 1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
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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.