NORTHWEST DOMESTIC CRISIS SERVICES, INC (NPI# 1235358466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235358466 |
| Entity Type | Organization |
| Organization Name | NORTHWEST DOMESTIC CRISIS SERVICES, INC |
| Practice Address |
1323 Kansas Ave Same Woodward OK 73801-3011 |
| Practice Telephone | 5802561215 |
| Practice Fax Number | 5802561245 |
| Mailing Telephone | 5802561215 |
| Mailing Fax Number | 5802561245 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL D FOCKLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5802561215 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 3694 | OK | Agencies |
| Street Address |
1323 KANSAS AVE SAME |
| City | WOODWARD |
| State | OK |
| Zip Code | 73801-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538384854 | Nw Domestic Crisis Services, Inc | Counselor | 1323 Kansas Ave, Woodward, OK 73801-3011 | 2007-04-13 |
| 1205098332 | Northwest Domestic Crisis Services Inc | Case Management | 1323 Kansas Ave, Woodward, OK 73801-3011 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370662 | Team Clinic Management Partners LLC | Clinic/Center | 914 Oak Ave, Woodward, OK 73801 | 2020-06-12 |
| 1720603996 | Team Clinic Management Partners LLC | Clinic/Center | 3801 34th St, Woodward, OK 73801 | 2020-06-12 |
| 1609069095 | Regional Chiropractic & Rehabilitation | Chiropractor | 1111 Hillcrest, Woodward, OK 73801 | 2007-08-20 |
| 1497963110 | Air Evac Ems Inc | Ambulance | 1620 Santa Fe St, Woodward, OK 73801 | 2007-05-18 |
| 1326260548 | Chiropractic Health Center | Chiropractor | 1123 Main Street, Woodward, OK 73801 | 2007-05-03 |
| 1700950201 | State of Oklahoma | Substance Abuse Rehabilitation Facility | 5050 Williams Avenue, Northwest Center for Behavioral Health, Woodward, OK 73801 | 2006-11-17 |
| 1801804521 | Richard D Kahoe | Psychologist | 1607 Main, Woodward, OK 73801 | 2006-08-04 |
| 1477578862 | Corley Mark Palmer | Internal Medicine | 900 17th St., Woodward Regional Hospital, Woodward, OK 73801 | 2006-07-13 |
| 1871520098 | L Ann Farrar | Nurse Anesthetist, Certified Registered | 900 17th Street, Woodward, OK 73801 | 2006-06-26 |
| 1093741704 | Leslie Anne Tevebaugh | Dentist | 1722 Main Street, Woodward, OK 73801 | 2006-06-24 |
| Find all providers in zip 73801 | ||||
| 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 |
|---|---|---|---|---|
| 1831481506 | Red Canyon Counseling | Community/Behavioral Health | 2704 Texas St, Woodward, OK 73801-2707 | 2011-05-12 |
| 1598975930 | Western Plains Youth & Family Services, Inc. | Community/Behavioral Health | 1213 W Hanks Trail, Woodward, OK 73801-7601 | 2007-05-23 |
| 1093879421 | Western Plains Youth and Family Services Inc. | Community/Behavioral Health | 1213 W Hanks Trl, Woodward, OK 73801-7601 | 2006-12-20 |
| 1750456588 | State of Oklahoma | Community/Behavioral Health | 1222 10th Street, Suite 211, Northwest Center for Behavioral Health, Woodward, OK 73801-3156 | 2006-11-20 |
| 1164944849 | New Hope Christian Counseling | Community/Behavioral Health | 1823 Texas St, Woodward, OK 73801-2932 | 2017-07-13 |
| 1326350414 | Western Plains Youth & Family Services | Community/Behavioral Health | 1213 W Hanks Trl, Woodward, OK 73801-7601 | 2010-07-06 |
| 1679752521 | Advocating for Families Lc | Community/Behavioral Health | 124 S Main St, Woodward, IA 50276-7707 | 2007-10-29 |
| 1598964678 | Advocating for Families, L.c. | Community/Behavioral Health | 124 S Main St, Woodward, IA 50276-7707 | 2007-07-17 |
| 1316010549 | State of Oklahoma | Community/Behavioral Health | Northwest Center for Behavioral Health, 1604 34th Street, Woodward, OK 73801 | 2006-11-16 |
| 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.