MS. MACKENZIE O'MEALEY (NPI# 1356861538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356861538 |
| Entity Type | Individual |
| Full Name | MS. MACKENZIE O'MEALEY |
| Credential | LPC-CANDIDATE |
| Practice Address |
425 S Fretz Ave Ste C Edmond OK 73003-5568 |
| Mailing Address |
16409 Village Green Dr Edmond OK 73013-3294 |
| Practice Telephone | 4057269808 |
| Practice Fax Number | 4057269809 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200716670A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 409 S Fretz Ave Ste C, Edmond, OK 730035570 | 4057269808 | 4057269809 |
| Street Address |
425 S FRETZ AVE STE C |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564543 | Jordan Renae Mcdowell | Counselor | 425 S Fretz Ave Ste C, Edmond, OK 73003-5568 | 2020-09-23 |
| 1104383306 | Trisha Watz | Counselor | 425 S Fretz Ave Ste C, Edmond, OK 73003-5568 | 2019-02-23 |
| 1467925693 | Amber Nicole Satwalekar | Counselor | 425 S Fretz Ave Ste C, Edmond, OK 73003-5568 | 2019-01-10 |
| 1174016612 | Sarai Peguero | Counselor | 425 S Fretz Ave Ste C, Edmond, OK 73003-5568 | 2018-06-10 |
| 1033614599 | Davidson C Monroe | Counselor | 425 S Fretz Ave Ste C, Edmond, OK 73003-5568 | 2018-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1467070565 | Kelsey Hines | Counselor | 2000 E 15th St Ste 450c, Edmond, OK 73013-6670 | 2020-07-06 |
| 1063039568 | Amber Nicole Aranda | Counselor | 2501 Glen Hollow Rd, Edmond, OK 73034-4279 | 2020-06-30 |
| 1407473234 | Mary Tidwell | Counselor | 525 Liberty Ln, Edmond, OK 73034-9046 | 2020-06-27 |
| 1326676610 | Melissa Mendez | Counselor | 2716 Nw 189th St, Edmond, OK 73012-0015 | 2020-03-31 |
| 1407490048 | Leslie Burnside | Counselor | 600 N Blackwelder Ave Apt 24, Edmond, OK 73034-5167 | 2019-11-06 |
| 1033689203 | Charles Watson Robinson IIi | Counselor | 1401 Nw 150th St Ste B, Edmond, OK 73013-2169 | 2018-11-30 |
| 1801362983 | Ida Moore | Counselor | 16224 Everglade Ln, Edmond, OK 73013-1259 | 2018-10-16 |
| 1538662952 | Josiah Stogsdill | Counselor | 307 E Danforth Rd Ste 124, Edmond, OK 73034-4484 | 2018-03-12 |
| 1437685377 | Ambra Gales | Counselor | 16204 Windrush Pl, Edmond, OK 73013-9418 | 2017-05-11 |
| Find all providers in EDMOND | ||||
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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.