KELLEY THAIN (NPI# 1306214044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306214044 |
| Entity Type | Individual |
| Full Name | KELLEY THAIN |
| Credential | BHCMII |
| Practice Address |
1410 S Gin Rd Atoka OK 74525-7348 |
| Practice Telephone | 5808893399 |
| Practice Fax Number | 5808893887 |
| Mailing Telephone | 5808893399 |
| Mailing Fax Number | 5808893887 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1410 S GIN RD |
| City | ATOKA |
| State | OK |
| Zip Code | 74525-7348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932428208 | Lxe Counseling Services, LLC | Case Management | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2010-05-25 |
| 1619335510 | Reubin Turner | Counselor | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2016-02-05 |
| 1780049601 | Chaz Cook | Counselor | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2015-12-18 |
| 1831564699 | Kenzie Avery | Counselor | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2015-12-04 |
| 1114391240 | Natasha Clayton | Counselor | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2015-12-01 |
| 1104297159 | Heritage Counseling Services, LLC | Community/Behavioral Health | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2015-10-16 |
| 1558732230 | Jordan Powers | Counselor | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2015-10-07 |
| 1821467606 | Cayla Meadows | Counselor | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2015-09-22 |
| 1174990618 | Johnny Jones | Counselor | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2015-09-01 |
| 1336522010 | Login Noel | Counselor | 1410 S Gin Rd, Atoka, OK 74525-7348 | 2015-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383493 | Brandi Genita Neese | Peer Specialist | 1097.2 S Farris Rd, Atoka, OK 74525 | 2019-12-19 |
| 1043739717 | Crystal Gossett | Student in an Organized Health Care Education/Training Program | 1680 S Greathouse Drive, Atoka, OK 74525 | 2017-09-14 |
| 1124544580 | Regina Pfaff | Student in an Organized Health Care Education/Training Program | 1680 S. Greathouse Drive, Atoka, OK 74525 | 2017-08-17 |
| 1730533860 | Wild Horse Counseling Service, LLC | Community/Behavioral Health | 1088 S Gin Rd., Atoka, OK 74525 | 2016-04-14 |
| 1740651801 | Aleisha Williams | Counselor | 101 S. Jefferson Hwy, Atoka, OK 74525 | 2015-10-15 |
| 1013383793 | Kay Banks | Student in an Organized Health Care Education/Training Program | 706 S. Greathouse Drive, Atoka, OK 74525 | 2015-08-17 |
| 1871977926 | Malinda Leann Mccall | Speech-Language Pathologist | 706 S Greathouse Drive, Atoka, OK 74525 | 2015-07-17 |
| 1467834069 | Christi Curry | Student in an Organized Health Care Education/Training Program | 800 South Greathouse Drive, Atoka, OK 74525 | 2015-06-19 |
| 1215318944 | Lauren Baker | Student in an Organized Health Care Education/Training Program | 706 South Greathouse Drive, Atoka, OK 74525 | 2015-06-18 |
| 1104210251 | Kheri Smith | Counselor | 1401 S Gin Rd, Atoka, OK 74525 | 2015-03-26 |
| Find all providers in zip 74525 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407499718 | Mary Golden | Counselor | 263 E Court St, Atoka, OK 74525-2016 | 2019-10-21 |
| 1376185173 | Brittani Nicole Rutledge | Counselor | 2557 S Crestview Rd, Atoka, OK 74525-6337 | 2019-10-13 |
| 1952836892 | Michelle Lampkin | Counselor | 271 E Court St, Atoka, OK 74525-2045 | 2017-04-28 |
| 1134571151 | Marissa Hook | Counselor | 1036 S Centerpoint Rd, Atoka, OK 74525-8402 | 2016-07-02 |
| 1316312499 | Erika Breanne Stanley | Counselor | 271 E Boggy Depot Rd, Atoka, OK 74525-5135 | 2015-12-01 |
| 1740651801 | Aleisha Williams | Counselor | 101 S. Jefferson Hwy, Atoka, OK 74525 | 2015-10-15 |
| 1104210251 | Kheri Smith | Counselor | 1401 S Gin Rd, Atoka, OK 74525 | 2015-03-26 |
| 1952717456 | Fred Lowry | Counselor | 213 E Court St, Atoka, OK 74525-2045 | 2014-07-03 |
| 1134541857 | Patricia Ilene Padgett | Counselor | 1410 S. Gin Rd, Atoka, OK 74525 | 2014-01-15 |
| 1508208430 | Ronnie Clark | Counselor | 1410 South Gin Rd, Atoka, OK 74525 | 2013-07-19 |
| Find all providers in ATOKA | ||||
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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.