MR. JON S POLEN (NPI# 1285909705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285909705 |
| Entity Type | Individual |
| Full Name | MR. JON S POLEN |
| Credential | M.S. , LPC |
| Practice Address |
606 Kihekah Ave Pawhuska OK 74056-4225 |
| Mailing Address |
1860 E 15th St Tulsa OK 74104-4611 |
| Practice Telephone | 9182875426 |
| Mailing Telephone | 9189494430 |
| Mailing Fax Number | 9189494431 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6120 | OK | Behavioral Health & Social Service Providers |
| Street Address |
606 KIHEKAH AVE |
| City | PAWHUSKA |
| State | OK |
| Zip Code | 74056-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124042809 | Footcare & More LLC | Clinic/Center | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2006-07-27 |
| 1386137701 | Jessica Walker | Social Worker | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2018-06-11 |
| 1447759626 | Charli Angelic Riddle | Peer Specialist | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2018-02-02 |
| 1184169450 | Tara Malaske | Case Manager/Care Coordinator | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2016-12-22 |
| 1427433184 | Steven D Hawthorne | Counselor | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2015-07-23 |
| 1821323718 | Jennifer C Mcglothlin | Counselor | 606 Kihekah Ave, Pawhuska, OK 74056 | 2009-10-09 |
| 1255473344 | Happy Feet LLC | Physical Medicine & Rehabilitation | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2007-02-13 |
| 1033283452 | Visionquest Inc | Durable Medical Equipment & Medical Supplies | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033765227 | Heather N Barkley | Case Manager/Care Coordinator | 1616 Mckenzie Road, Pawhuska, OK 74056 | 2019-08-13 |
| 1871092494 | Pawhuska Hospital Inc | Clinic/Center | 1109 E 15th St, Pawhuska, OK 74056 | 2018-02-09 |
| 1043618572 | Dagenais & Associates Medical Clinic, LLC | Physician Assistant | 137 East Main, Pawhuska, OK 74056 | 2014-12-16 |
| 1659615904 | Osage Nation | Community/Behavioral Health | 126 6th Street, Pawhuska, OK 74056 | 2012-11-26 |
| 1366707481 | Louis G Gray I | Counselor | 1011 Grandview, Pawhuska, OK 74056 | 2012-07-05 |
| 1205096427 | Eric A Amberson | Emergency Medicine | 230 E. 5th Street, Pawhuska, OK 74056 | 2008-06-11 |
| 1407030356 | Angels Health Care Clinic Inc | Clinic/Center | 47922 St Hwy 99, Pawhuska, OK 74056 | 2007-12-27 |
| 1871795740 | Help Works, Inc | Day Training, Developmentally Disabled Services | 219 Lincoln, Pawhuska, OK 74056 | 2007-06-04 |
| 1639205628 | William Franklin Pendley | Counselor | Edwin Fair Cmhc 515 Old Hyw 99, Pawhuska, OK 74056 | 2007-02-26 |
| 1265591416 | Gemini Medical Group | Family Medicine | 701 Leahy, Pawhuska, OK 74056 | 2006-12-06 |
| Find all providers in zip 74056 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821434754 | Scotty Ray Gilkey | Counselor | 1066 Skyline Dr, Pawhuska, OK 74056-9776 | 2013-05-19 |
| 1982202438 | Scott Alexander Blackburn | Counselor | 124 E 6th St, Pawhuska, OK 74056-4204 | 2020-10-15 |
| 1114536224 | Youth Services of Osage County, Inc. | Counselor | 1616 Mckenzie, Pawhuska, OK 74056 | 2020-07-24 |
| 1811313570 | Brightpath Reynolds | Counselor | 126 E 6th St, Pawhuska, OK 74056-4204 | 2014-03-05 |
| 1972942282 | Jennifer Lynn Gilkey | Counselor | 1066 Skyline Dr, Pawhuska, OK 74056-9776 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292464 | Sara Saxman | Counselor | 7829 S Yale Ave Apt A, Tulsa, OK 74136-9051 | 2020-10-15 |
| 1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
| 1942807656 | Terrance Banner | Counselor | 630 Elm Ave, Norman, OK 73019-3109 | 2020-10-06 |
| 1518573658 | Okiestrong Behavioral Health & Counseling, LLC | Counselor | 715 Se 12th St, Moore, OK 73160-7303 | 2020-09-22 |
| 1881207306 | Jennifer Mcdonald | Counselor | 9804 E 21st Pl Apt A, Tulsa, OK 74129-3815 | 2020-08-25 |
| 1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
| 1588276133 | Samantha Johnette Sowers | Counselor | 404 S Monroe Ave, Wagoner, OK 74467-6200 | 2020-08-17 |
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| 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.