MITZY KANTOR (NPI# 1306256235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306256235 |
| Entity Type | Individual |
| Full Name | MITZY KANTOR |
| Practice Address |
901 E 11th St Claremore OK 74017-6443 |
| Practice Telephone | 9188135304 |
| Mailing Telephone | 9188135304 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
901 E 11TH ST |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-6443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972995264 | Stephanie Bauer | Counselor | 104 S Moore Ave Apt 1, Claremore, OK 74017-5056 | 2015-02-24 |
| 1346680360 | Shelly D Kantor | Counselor | 1516 N Lynn Riggs Blvd Ste 100, Claremore, OK 74017-3567 | 2013-07-05 |
| 1013224716 | Yco Tulsa, Inc | Counselor | 603 W 12th St, Claremore, OK 74017-4013 | 2010-09-02 |
| 1629268297 | John Hathcoat | Counselor | 1010 E Will Rogers Blvd, Claremore, OK 74017-6352 | 2007-07-30 |
| 1346447372 | Dianna L Mcguire | Counselor | 1138 N Faulkner Pl, Claremore, OK 74017-6614 | 2007-07-02 |
| 1619099652 | Robby Russell True | Counselor | 408 E Will Rogers Blvd, Claremore, OK 74017-7455 | 2007-04-03 |
| 1609385749 | Dusty Bump | Counselor | 1010 E Will Rogers Blvd, Claremore, OK 74017-6352 | 2017-09-20 |
| 1508311440 | Caron Avery | Counselor | 320 E 5th St, Claremore, OK 74017-7415 | 2016-08-21 |
| 1922356468 | Robert Hoelle | Counselor | 1010 E Will Rogers Blvd, Claremore, OK 74017 | 2012-08-15 |
| 1083961288 | Lance Alan West | Counselor | 1010 E Will Rogers Blvd, Claremore, OK 74017-6352 | 2012-08-07 |
| Find all providers in CLAREMORE | ||||
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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.