MR. MARK B WESTFALL (NPI# 1346555463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346555463 |
| Entity Type | Individual |
| Full Name | MR. MARK B WESTFALL |
| Credential | CADC, BHRS |
| Practice Address |
1115 Harber Rd. Grove OK 74344 |
| Mailing Address |
Po Box 451385 Grove OK 74345-1385 |
| Practice Telephone | 9187864434 |
| Practice Fax Number | 9187875985 |
| Mailing Telephone | 9187864434 |
| Mailing Fax Number | 9187864435 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
314 | OK | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174566939 | Mark D Westfall | Emergency Medicine | 130 2nd St, Neenah, WI 54956-2883 | 2006-06-13 |
| 1093785552 | Mark A Westfall | Family Medicine | 1391 N Baldwin Ave, Marion, IN 46952-1913 | 2006-01-25 |
| Street Address |
1115 HARBER RD. |
| City | GROVE |
| State | OK |
| Zip Code | 74344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235359431 | Amy D Humphrey | Social Worker | 1115 Harber Rd., Grove, OK 74344 | 2007-04-27 |
| 1134455934 | Susan Kidder | Social Worker | 1115 Harber Rd., Delaware County Clinic, Grove, OK 74344-7918 | 2009-10-29 |
| 1508192444 | Franklin Sales Sr. | Counselor | 1115 Harber Rd., Delaware County Clinic, Grove, OK 74344-7918 | 2009-10-28 |
| 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.