JIM TALIAFERRO CMHC


Address: 110 Se 2nd Street, Anadarko, OK 73005-3416
Phone: 5802485780

JIM TALIAFERRO CMHC (NPI# 1285779314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285779314
Entity Type Organization
Organization Name JIM TALIAFERRO CMHC
Practice Address 110 Se 2nd Street
Anadarko
OK 73005-3416
Practice Telephone 5802485780
Practice Fax Number 5803533202
Mailing Telephone 5802485780
Mailing Fax Number 5803533202
Enumeration Date 2007-02-20
Last Update Date 2011-06-16
Authorized Official Name MRS. BRENDA OTOTIVO (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5802485780
Authorized Official Credential LBP, LADC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
0005111 OK Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK 100706940D 05
OK 100706940I 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932569001 Jim Taliaferro Cmhc Community/Behavioral Health 327 Sw C Ave, Lawton, OK 73501-4016 2016-03-02
1972648004 Jim Taliaferro Cmhc Community/Behavioral Health 411 Fowler Dr, Duncan, OK 73533-2336 2007-02-20
1588708614 Jim Taliaferro Cmhc Community/Behavioral Health 118 S. Main Street, Altus, OK 73521-3128 2007-02-20

Office Location

Street Address 110 SE 2ND STREET
City ANADARKO
State OK
Zip Code 73005-3416

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548810534 Wichita and Affiliated Tribes In Home Supportive Care 1 1/4 Mi. N Hwy 281, Anadarko, OK 73005 2019-09-12
1750891149 Anadarko Nursing & Rehabilitation LLC Nursing Facility/Intermediate Care Facility 300 West Washington, Anadarko, OK 73005 2017-10-11
1457725582 Phuong Vu Pharmacist 201 East Parker Mckenzie Drive, Anadarko, OK 73005 2015-12-01
1659745412 Joel Wolfe Licensed Practical Nurse 201 East Parker Mckenzine Drive, Anadarko, OK 73005 2015-11-17
1891940045 Gordon Ray Whitewolf Counselor 101 Riverside Drive, Riverside Indian School, Anadarko, OK 73005 2008-12-01
1255362646 Gregory Dale Clift Optometrist 115 N. E. Oldtown Dr, Anadarko, OK 73005 2006-07-05
1538190921 Marc Anthony Clanton Psychologist N.e. 115 Old Town Road, Anadarko, OK 73005 2006-07-05
1083071575 Mildred Gomez Registered Nurse 201 East Parker Mckenzine Drive, Anadarko, OK 73005 2016-01-28
1124484324 Rose H. Autaubo Licensed Practical Nurse 201 East Parker Mckenzie Drive, Anadarko, OK 73005 2016-01-05
1558726190 Juliana Lonewolf Registered Nurse 201 East Parker Mckenzie Drive, Anadarko, OK 73005 2015-12-28
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1649870890 M & M Counseling Group, LLC Clinic/Center 207 S Czech Hall Rd, Yukon, OK 73099-6851 2020-10-27
1992303721 Misty Watkins Clinic/Center 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 2020-10-14
1295342046 Integrative Healthcare Solutions LLC Clinic/Center 2227 E 8th St, Tulsa, OK 74104-3237 2020-09-25
1235744020 Strength of A Warrior Counseling Services LLC Clinic/Center 4516 Se 25th St, Del City, OK 73115-4114 2020-09-09
1609488253 Alexie Foster, LLC Clinic/Center 16802 S 301st West Ave, Bristow, OK 74010-2265 2020-08-17
1306455068 Restore Family Counseling, LLC Clinic/Center 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 2020-07-29
1245855857 Dragonfly Psychotherapy Clinic/Center 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 2020-06-09
1508480872 Maria Nancy Martinez Clinic/Center 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 2020-06-03
1649894015 Miranda Rackers Clinic/Center 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 2020-06-02
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Competitor

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City ANADARKO
Zip Code 73005

Improve Information

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Dataset Information

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.

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