KENDRA BURNSIDE LCSW INC PC


Address: 2100 N Broadway Ave, Ada, OK 74820-1048
Phone: 5804367120

KENDRA BURNSIDE LCSW INC PC (NPI# 1316196405) 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) 1316196405
Entity Type Organization
Organization Name KENDRA BURNSIDE LCSW INC PC
Practice Address 2100 N Broadway Ave
Ada
OK 74820-1048
Practice Telephone 5804367120
Practice Fax Number 5804367121
Mailing Telephone 5804367120
Mailing Fax Number 5804367121
Enumeration Date 2008-09-12
Last Update Date 2008-09-12
Authorized Official Name MRS. KENDRA BURNSIDE (LCSW)
Authorized Official Telephone 5804367120
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health LCSW OK Agencies

Office Location

Street Address 2100 N BROADWAY AVE
City ADA
State OK
Zip Code 74820-1048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649214487 Vanita Mathews-glover Counselor 2100 N Broadway Ave, Ada, OK 74820-1048 2006-06-15
1174061550 Catherine Roring Psychologist 2100 N Broadway Ave, Ada, OK 74820-1048 2017-02-06
1902342710 Ashton Neufeld Counselor 2100 N Broadway Ave, Ada, OK 74820-3840 2017-01-18
1023462363 Jillian Faulkner Counseling Services LLC Counselor 2100 N Broadway Ave, Ada, OK 74820-1048 2016-04-22
1760850150 Theea D Swinford Counselor 2100 N Broadway Ave, Ada, OK 74820-1048 2015-09-02
1063880490 Jessica King Counselor 2100 N Broadway Ave, Ada, OK 74820-1048 2015-09-02
1902273360 Amanda Serna Counselor 2100 N Broadway Ave, Ada, OK 74820-1048 2015-09-01
1548692494 Markia Anne Matthews Counselor 2100 N Broadway Ave, Ada, OK 74820-1048 2013-08-02
1730430349 Deborah L Graham-lewis Counselor 2100 N Broadway Ave, Ada, OK 74820-1048 2012-09-21
1093085417 Julie Auld Counselor 2100 N Broadway Ave, Ada, OK 74820-1048 2012-01-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578103727 Curry Orthopedics and Sports Medicine Pllc Orthopaedic Surgery 919 Colony Drive, Ada, OK 74820 2020-01-15
1215574603 Miranda Denise Bowman Counselor 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 2019-12-04
1326509654 Patricia June Harjo Case Manager/Care Coordinator Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 2019-03-28
1649737172 Rylee Nikole Leblanc Case Manager/Care Coordinator 1119 S High School St, Ada, OK 74820 2019-02-20
1891251328 David Kinback Rehabilitation Counselor 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 2019-02-20
1922571009 Central Oklahoma Family Medical Center, Inc. Pharmacy 905 Colony Dr, Ada, OK 74820 2019-01-10
1063988673 Central Oklahoma Family Medical Center, Inc Clinic/Center 905 Colony Drive Bldg, Ada, OK 74820 2018-10-22
1265907885 Apex Surgery Center, LLC Surgery 2001 Cradduck Road, Ada, OK 74820 2018-10-10
1689150898 Sabrina Simmons Social Worker 2516 Oakhurst Dr Apt E, Ada, OK 74820 2018-07-11
1700370467 Brianna Leigh Youngwolfe Nurse Practitioner 2020 Arlington St Ste 6, Ada, OK 74820 2018-06-17
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962020867 Mandi Withey, Ms, LLP, Pllc Community/Behavioral Health 4100 Picea Valley Ct Se, Ada, MI 49301-8587 2020-07-08
1265079552 Victoria Jo Barnosky Community/Behavioral Health 1301 N Oak Ave Apt 207, Ada, OK 74820-1218 2019-12-05
1134523921 Theea Community/Behavioral Health 9960 County Road 3500, Ada, OK 74820-3556 2014-10-22
1346669470 Biofeedback Solutions, LLC Community/Behavioral Health 2102 N Broadway Ave, Ada, OK 74820-1048 2014-04-16
1780985952 Chickasaw Nation Community/Behavioral Health 231 Seabrook Rd, Ada, OK 74820-1006 2010-11-04
1457558298 Family Crisis Center, Inc Community/Behavioral Health 605 E 12th St, Ada, OK 74820-6605 2007-06-27
1164557492 Jim Wallace and Associates Incorporated Community/Behavioral Health 119 N. Broadway, Suite 7, Ada, OK 74820 2007-02-23
1124160122 Ada Area Youth Shelter, Inc. Community/Behavioral Health 901 West 18th St., Ada, OK 74820 2007-02-13
1932749348 Southern Oklahoma Treatment Serices, Inc. Community/Behavioral Health 1201 Arlington St Ste G, Ada, OK 74820-4072 2020-01-14
1649732116 New Revelation Counseling Service LLC Community/Behavioral Health 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 2019-04-03
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Competitor

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City ADA
Zip Code 74820

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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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