TERESA GAIL KILBURN (NPI# 1346423910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346423910 |
| Entity Type | Individual |
| Full Name | TERESA GAIL KILBURN |
| Credential | LPC, LADAC |
| Practice Address |
1115 Harbor Rd Grove OK 74344-3505 |
| Mailing Address |
115 Harber Rd Grove OK 74344-4429 |
| Practice Telephone | 9187864434 |
| Practice Fax Number | 9187864435 |
| Mailing Telephone | 9187864434 |
| Mailing Fax Number | 9187864435 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3929 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1115 HARBOR RD |
| City | GROVE |
| State | OK |
| Zip Code | 74344-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063429181 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 1115 Harbor Rd, Grove, OK 74344-3505 | 2006-08-02 |
| 1669084620 | Deanna M Duvall | Social Worker | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-08-20 |
| 1558979831 | Amber Rae Coker | Case Manager/Care Coordinator | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-07-22 |
| 1275157166 | Katharine Jean Downing | Case Manager/Care Coordinator | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-06-05 |
| 1205464997 | Kristen Bartz | Case Manager/Care Coordinator | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-03-30 |
| 1144853631 | Jennifer Elizabeth Bowerman | Peer Specialist | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-02-13 |
| 1427697747 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-01-03 |
| 1598302572 | Shelbi Ann Brock | Case Manager/Care Coordinator | 1115 Harbor Rd, Grove, OK 74344-3505 | 2019-12-09 |
| 1447896907 | Jennifer Lynne Andrews | Registered Nurse | 1115 Harbor Rd, Grove, OK 74344-3505 | 2019-11-20 |
| 1497399331 | Steven Graham Shackelford | Case Manager/Care Coordinator | 1115 Harbor Rd, Grove, OK 74344-3505 | 2019-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604935 | Deborah Stauss | Massage Therapist | 2086 S Main St, Grove, OK 74344 | 2019-05-20 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1205329232 | Andra Renee Mitchell | Speech-Language Pathologist | 825 E Third Street, Grove, OK 74344 | 2018-06-13 |
| 1861996217 | Jenniffer Colleen Clark I | Case Manager/Care Coordinator | 1115 Har-ber Rd, Grove, OK 74344 | 2018-03-21 |
| 1417458167 | Jason S Beckham | Case Manager/Care Coordinator | 32600 S. 625 Road, Grove, OK 74344 | 2018-02-27 |
| 1659872034 | Keli Elaine Whitlock | Peer Specialist | 5602 Us Hwy 59, Grove, OK 74344 | 2018-02-22 |
| 1851899454 | Nichole Marie Wooton | Case Manager/Care Coordinator | 1115 Har-ber Road, Grove, OK 74344 | 2018-01-29 |
| 1043766645 | Samantha Lane | Speech-Language Pathologist | 1046 Hillside Road, Grove, OK 74344 | 2016-09-01 |
| 1376927509 | Matthew Kyle Allen | Physical Therapy Assistant | 4621 Hwy 59 N, Grove, OK 74344 | 2015-07-17 |
| 1477807428 | Andrew Scott Littlejohn | Physical Therapy Assistant | 103 Harber Road, Grove, OK 74344 | 2012-10-30 |
| Find all providers in zip 74344 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083046064 | Modina Pelley | Counselor | 1115 W. Harber Rd, Grove, OK 74344-3505 | 2013-08-01 |
| 1164634077 | April Kent | Counselor | 1115 Harber Road, Grove, OK 74344 | 2007-05-04 |
| 1710922216 | Diane Jean Vinson | Counselor | 1115 Harber Rd, Grove, OK 74344-7918 | 2006-06-18 |
| 1578511440 | Brett Cole | Counselor | 1115 W. Har-ber Road, Grove, OK 74345-1385 | 2006-05-04 |
| 1184197717 | Jess Bartlett | Counselor | 1107 E 13th St Ste E, Grove, OK 74344-7956 | 2019-01-07 |
| 1932687274 | Jessica Reed | Counselor | 1115 S. Harber Road, Grove, OK 74344-7918 | 2018-07-30 |
| 1720565260 | Leigh-anna Loree Miller | Counselor | 1115 Harbor Rd, Grove, OK 74344-3505 | 2018-07-27 |
| 1942710710 | Shauna Lyn Andrews | Counselor | 1115 Harbor Rd, Grove, OK 74344-3505 | 2017-10-06 |
| 1073035424 | Alexandrea Turner | Counselor | 1115 Harbor Rd, Grove, OK 74344 | 2017-07-07 |
| 1346786209 | Vivian Litterell | Counselor | 1115 Harbor Rd, Grove, OK 74344-3505 | 2017-01-16 |
| Find all providers in GROVE | ||||
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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.