ANNA GRONNEBERG (NPI# 1265855498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265855498 |
Entity Type | Individual |
Full Name | ANNA GRONNEBERG |
Practice Address |
351 N Air Depot Blvd Suite M Midwest City OK 73110-1700 |
Mailing Address |
164 Huntington Downs Saint Charles MO 63301-8700 |
Practice Telephone | 4056053093 |
Mailing Telephone | 6367955480 |
Enumeration Date | 2014-01-23 |
Last Update Date | 2014-01-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | Agencies | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
351 N AIR DEPOT BLVD SUITE M |
City | MIDWEST CITY |
State | OK |
Zip Code | 73110-1700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215047923 | Jason Sewell | Physical Therapy Assistant | 351 N Air Depot Blvd, Midwest City, OK 73110-1700 | 2006-08-30 |
1437522273 | Julia Massie | Speech-Language Pathologist | 351 N Air Depot Blvd, Midwest City, OK 73110-1700 | 2015-11-02 |
1922479609 | Tina Marie Johnson | Counselor | 351 N Air Depot Blvd, Suite M, Midwest City, OK 73110-1700 | 2015-10-07 |
1710373063 | Gretchen Schell | Behavioral Analyst | 351 N Air Depot Blvd, Midwest City, OK 73110-1700 | 2015-04-14 |
1144623414 | Jessie Benfield-boik | Social Worker | 351 N Air Depot Blvd, Suite M, Midwest City, OK 73110-1700 | 2014-10-01 |
1396156493 | Stephanie M Bond | Counselor | 351 N Air Depot Blvd, Suite M, Midwest City, OK 73110-1700 | 2014-05-13 |
1205256112 | Therapy Link Solutions LLC | Counselor | 351 N Air Depot Blvd, Suite Q, Midwest City, OK 73110-1700 | 2014-04-17 |
1114340940 | Michael Annancy | Counselor | 351 N Air Depot Blvd, Suite M, Midwest City, OK 73110-1700 | 2014-01-30 |
1831438290 | Michelle Mckelly | Counselor | 351 N Air Depot Blvd, Suite M, Midwest City, OK 73110-1700 | 2013-02-05 |
1942553037 | Lucille Ray Pierce | Behavioral Analyst | 351 N Air Depot Blvd, Suite S, Midwest City, OK 73110-1700 | 2012-10-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
Find all providers in zip 73110 |
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 |
---|---|---|---|---|
1184191926 | Bobbie Jean Taylor | Community/Behavioral Health | 2044 Westbury Dr, Midwest City, OK 73130-8209 | 2018-10-30 |
1649706672 | Desire 2 Be You Counseling Services, LLC | Community/Behavioral Health | 9075 Harmony Dr, Midwest City, OK 73130-6217 | 2017-05-11 |
1962958900 | Addiction & Behavioral Health Specialist Incorporated | Community/Behavioral Health | 2905 S Harr Dr Ste 103, Midwest City, OK 73110-3049 | 2016-08-30 |
1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
1467799783 | Opal Harris | Community/Behavioral Health | 7869 Ne 10th St Apt 195, Midwest City, OK 73110-3674 | 2013-01-07 |
1386910883 | To Inspire Youth and Family Counseling | Community/Behavioral Health | 7901 Ne 10th St Ste C111, Midwest City, OK 73110-3653 | 2012-03-29 |
1700152402 | Day By Day Counseling Services LLC | Community/Behavioral Health | 1205 S Air Depot Blvd # 122, Midwest City, OK 73110-4807 | 2012-03-27 |
1497026173 | Deberry Interprise | Community/Behavioral Health | 9233 North East10th Street, Midwest City, OK 73130 | 2012-01-26 |
1821377326 | Tashika Brooks | Community/Behavioral Health | 211 Kendra Dr, Midwest City, OK 73110-7750 | 2011-08-15 |
1225316003 | Another Chance Counseling Agency, Inc | Community/Behavioral Health | 8306 Ne 10th St, Midwest City, OK 73110-7155 | 2011-07-28 |
Find all providers in MIDWEST CITY |
City | MIDWEST CITY |
Zip Code | 73110 |
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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.