AMANDA BOEHME (NPI# 1326468760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326468760 |
| Entity Type | Individual |
| Full Name | AMANDA BOEHME |
| Practice Address |
717 Highway 70 E Suite B Kingston OK 73439-8253 |
| Mailing Address |
Po Box 1572 Kingston OK 73439-1572 |
| Practice Telephone | 9038143607 |
| Mailing Telephone | 9038143607 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
717 HIGHWAY 70 E SUITE B |
| City | KINGSTON |
| State | OK |
| Zip Code | 73439-8253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861969776 | Timothy Albert Knight I | Case Management | 717 Highway 70 E, Kingston, OK 73439-8253 | 2018-10-29 |
| 1942747746 | Kartika Rasberry Anderson | Case Manager/Care Coordinator | 717 Highway 70 E, Kingston, OK 73439-8253 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489859 | Amanda Griffin | Behavior Technician | 9236 Polvadore Drive, Kingston, OK 73439 | 2020-02-13 |
| 1659837102 | Sheriden Cheyenne Franks | Pharmacist | 7 North Main Street, Kingston, OK 73439 | 2019-02-20 |
| 1275061467 | Ayandeh Health LLC | Nurse Practitioner | 7 N Main Street, Kingston, OK 73439 | 2017-06-01 |
| 1720526437 | Tammy Lynn Williams | Nurse Practitioner | 7 N Main, Kingston, OK 73439 | 2017-02-02 |
| 1053774794 | Tressa Antionette Matchen | Nurse Practitioner | 701 East Hwy 70 Alliance Health Medical Group, Kingston, OK 73439 | 2016-03-31 |
| 1932577277 | Laura Kay Gleaves | Counselor | 717 B Hwy E, Kingston, OK 73439 | 2015-09-03 |
| 1346622099 | Alicia Thompson | Community Health Worker | 400 North East Third, Kingston, OK 73439 | 2015-06-18 |
| 1790188639 | Lakeside Family Medicine | Family Medicine | 714 Hwy 70 E, Kingston, OK 73439 | 2014-10-07 |
| 1518373513 | Dana Boldt Green, M.ed., Lpc, Ncgc-2, PC | Community/Behavioral Health | 8800 Birch St, Kingston, OK 73439 | 2014-07-10 |
| 1205131554 | Marie Morrison Bramlett | Counselor | 400 Ne 3rd St, Kingston, OK 73439 | 2011-01-18 |
| Find all providers in zip 73439 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425687 | Casey John Kirkland | Counselor | 7 Cheney Rd, Kingston, NH 03848-3402 | 2020-07-29 |
| 1134577307 | Madeline Elizabeth Harley | Counselor | 13 Cooke Ave, Kingston, MA 02364-1835 | 2016-05-29 |
| 1215281407 | Samantha Darlene Moore | Counselor | 4334 Back St, Kingston, OK 73439-5350 | 2012-11-09 |
| 1114228061 | Natalie L Foster | Counselor | 413 Highway 70 N, Kingston, OK 73439-8235 | 2010-11-09 |
| 1740484203 | Karen Sue Carr | Counselor | Outpatient Services-kingston; 12998 Village Rd., Strong Family Development:, Kingston, OK 74820 | 2007-06-11 |
| 1013023977 | Judy Shapiro | Counselor | 471 Albany Ave, Kingston, NY 12401-2138 | 2006-08-22 |
| 1255948840 | Evolutionary Holistic Healing | Counselor | 155 Broadway, Kingston, NY 12401-6057 | 2020-09-28 |
| 1134681133 | Samuel Washington | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2019-04-01 |
| 1306303987 | Erin Koonz | Counselor | 139 Cornell St, Kingston, NY 12401-3640 | 2019-03-01 |
| 1922564509 | John Frusciante | Counselor | 471 Albany Ave, Kingston, NY 12401-2138 | 2019-02-19 |
| Find all providers in KINGSTON | ||||
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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.