TWENTY-NINE 11, INC. (NPI# 1235680984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235680984 |
Entity Type | Organization |
Organization Name | TWENTY-NINE 11, INC. |
Practice Address |
1605 N Harrison St Shawnee OK 74804-4022 |
Mailing Address |
19501 S Rock Creek Rd Shawnee OK 74801-9626 |
Practice Telephone | 4057653789 |
Mailing Telephone | 4054015215 |
Enumeration Date | 2016-10-18 |
Last Update Date | 2016-10-18 |
Authorized Official Name | MRS. JILL JANAE NEWMAN (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Telephone | 4054015215 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 5641 | OK | Behavioral Health & Social Service Providers |
Street Address |
1605 N HARRISON ST |
City | SHAWNEE |
State | OK |
Zip Code | 74804-4022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891762951 | Brian Ernest Drew | Dentist | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2006-03-07 |
1932729092 | Andra Elizabeth Tipton | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2020-04-19 |
1902464308 | Brittny Rayeann Bradford | Case Manager/Care Coordinator | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-05-31 |
1427517572 | Shelley L Coffman | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-03-18 |
1992260004 | Juanita Pearl Marshall | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2019-02-02 |
1124507579 | Amy Adelle Jennings | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2018-08-07 |
1477060424 | Whitney Rhea Elliott | Case Manager/Care Coordinator | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2017-12-29 |
1710402946 | Jennifer Lynn Cheatham | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2017-08-09 |
1184085367 | Twenty-nine 11 Inc | Counselor | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2016-03-15 |
1255797858 | Alicia Martinez-cruz | Student in an Organized Health Care Education/Training Program | 1605 N Harrison St, Shawnee, OK 74804-4022 | 2016-01-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
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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 |
---|---|---|---|---|
1669024790 | Monica Pacheco | Counselor | 429 N Union Ave, Shawnee, OK 74801-7019 | 2019-07-09 |
1386101624 | Kelly S Beck | Counselor | 722 E Independence St Ste I, Shawnee, OK 74804-4037 | 2019-02-22 |
1700326626 | Heidi Jeffcoat | Counselor | 4404 N Pottenger Ave, Shawnee, OK 74804-1269 | 2017-02-24 |
1386199081 | Mindee Todd | Counselor | 600 W Independence St Ste 900, Shawnee, OK 74804-4320 | 2016-08-23 |
1679956189 | Sarah Simonson | Counselor | 600 W Independence St, Suite 900, Shawnee, OK 74804-4320 | 2015-07-01 |
1972901460 | Greta Morgan | Counselor | 16851 W 67th Ter, Apt. 379, Shawnee, KS 66217-9694 | 2014-12-15 |
1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
1487064796 | Amanda Allen | Counselor | 43985 Hunters Hill Dr, Shawnee, OK 74801-8927 | 2014-05-08 |
1053734343 | Preston Leon Armstrong | Counselor | 37800 W. Macarthur St, Lot 22, Shawnee, OK 74804-9265 | 2014-01-23 |
1205178209 | Melissa Sue Upton-strong | Counselor | 3602 N Union Ave, Shawnee, OK 74804-2158 | 2013-03-18 |
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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.