JIM TALIAFERRO COMMUNITY MENTAL HEALTH CENTER (NPI# 1346547908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346547908 |
| Entity Type | Organization |
| Organization Name | JIM TALIAFERRO COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
602 Sw 38th St Lawton OK 73505-6912 |
| Practice Telephone | 5803550072 |
| Practice Fax Number | 5803550232 |
| Mailing Telephone | 5803550072 |
| Mailing Fax Number | 5803550232 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-10-25 |
| Authorized Official Name | MS. FETIMA WELLINGTON (CASE MANAGER) |
| Authorized Official Telephone | 5803550072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2612MQM0801X | OK | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710223326 | Jim Taliaferro Community Mental Health Center | Case Management | 602 Sw 38th St, Lawton, OK 73505 | 2012-12-31 |
| 1912275306 | Jim Taliaferro Community Mental Health Center | Psychiatric Hospital | 602 Sw 38th St, Lawton, OK 73505-6912 | 2011-12-13 |
| 1205127271 | Jim Taliaferro Community Mental Health Center | Case Management | 602 Sw 38th St, Lawton, OK 73505-6912 | 2011-04-26 |
| Street Address |
602 SW 38TH ST |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512067 | Shirley Godfrey | Social Worker | 602 Sw 38th St, Lawton, OK 73505-6912 | 2005-07-20 |
| 1831796366 | Nijiah Johnson | Case Manager/Care Coordinator | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-10-07 |
| 1942807573 | Tameka Leshay Hawkins | Case Manager/Care Coordinator | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-10-06 |
| 1811504145 | Renee Sosebee | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| 1679180970 | Latricia Murphy | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| 1679180996 | Mariah Dawkins | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| 1871100552 | Jessica Mccoy | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-28 |
| 1356956155 | Whitney A Hicks | Case Manager/Care Coordinator | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-09 |
| 1841803327 | Jessi Barnett | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-08-25 |
| 1316557838 | Tara Johnson | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699310276 | Creoks Mental Health Services | Community/Behavioral Health | 4704 Nw Motif Manor Blvd Ste 4, Lawton, OK 73505-4800 | 2019-11-07 |
| 1992263776 | Abundant Life Counseling Services | Community/Behavioral Health | 1105 Sw F Ave, Lawton, OK 73501-4720 | 2019-03-11 |
| 1427546514 | Internal Connections Pllc | Community/Behavioral Health | 1303 W. Gore Blve, Suite 6, Lawton, OK 73501-3666 | 2018-04-25 |
| 1720517246 | Community Strong Counseling LLC | Community/Behavioral Health | 1303 W Gore Blvd Ste 3, Lawton, OK 73501-3666 | 2017-06-08 |
| 1932569001 | Jim Taliaferro Cmhc | Community/Behavioral Health | 327 Sw C Ave, Lawton, OK 73501-4016 | 2016-03-02 |
| 1174914287 | Creative Life Counseling Services | Community/Behavioral Health | 502 North Sheridan, Suite 4, Lawton, OK 73505 | 2015-02-11 |
| 1750709903 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 1309 Sw Washington Ave, Lawton, OK 73501-7231 | 2014-04-04 |
| 1699117796 | Cordaris Onassis Butler | Community/Behavioral Health | 2800 West Gore Blvd, Lawton, OK 73505 | 2013-07-18 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1619255908 | Eva Jane Fournier | Community/Behavioral Health | 1810 Nw Bell Ave, Lawton, OK 73507-6315 | 2011-08-03 |
| Find all providers in LAWTON | ||||
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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.