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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100706940D | 05 | |
OK | 100706940I | 05 |
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 |
Street Address |
110 SE 2ND STREET |
City | ANADARKO |
State | OK |
Zip Code | 73005-3416 |
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 |
Find all providers in zip 73005 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
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 |
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.