ABSENTEE SHAWNEE COUNSELING SERVICES (NPI# 1376742585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376742585 |
| Entity Type | Organization |
| Organization Name | ABSENTEE SHAWNEE COUNSELING SERVICES |
| Practice Address |
1301 Se 59th St Oklahoma City OK 73129-7307 |
| Mailing Address |
1301 Se 59th Street Oklahoma City OK 73129-7307 |
| Practice Telephone | 4056723033 |
| Practice Fax Number | 4056728371 |
| Mailing Telephone | 4056723033 |
| Mailing Fax Number | 4056728371 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | MR. DAN CROSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4056723033 |
| Authorized Official Credential | MDIV, LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | ODMHSAS | OK | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1417289356 | 05 | |
| OK | 1376775775 | 05 | |
| OK | 1538363320 | 05 | |
| OK | 1639409626 | 05 | |
| OK | 1750682001 | 05 |
| Street Address |
1301 SE 59TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73129-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700826138 | Crossroads Hospice of Oklahoma City, LLC | Hospice Care, Community Based | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2006-06-07 |
| 1588299952 | Randi June Jones | Nurse Practitioner | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2020-03-06 |
| 1134679996 | Ebony Wolfe | Nurse Practitioner | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2016-10-05 |
| 1457717928 | Dyanna Johnston | Nurse Practitioner | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2016-01-13 |
| 1689912354 | Linda Ann Byers | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2013-01-30 |
| 1730468927 | Michael Moore | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2011-08-05 |
| 1881988947 | Cynovah Shante Roberts | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2011-06-07 |
| 1386865517 | James E Barton | Counselor | 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598291098 | Homero Rivera | Case Manager/Care Coordinator | 105 Se 30th St., Oklahoma City, OK 73129 | 2017-05-04 |
| 1437515038 | Arturo Pinon | Case Manager/Care Coordinator | 617 Se 18th St., Oklahoma City, OK 73129 | 2016-01-12 |
| 1578969283 | Ramona Paulette Gregory | Case Manager/Care Coordinator | 116 Se 22nd St, Oklahoma City, OK 73129 | 2014-11-06 |
| 1902221492 | Housecalls Transitional Care Associates | Family Medicine | 4311 S Prospect, Oklahoma City, OK 73129 | 2014-02-20 |
| 1861725301 | Nicholle Marie Verhines | Counselor | 744 S.e. 25th Street, Oklahoma City, OK 73129 | 2009-09-16 |
| 1174728620 | Lindsay Renae Sullivan | Counselor | 744 Se 25th St., Oklahoma City, OK 73129 | 2007-06-15 |
| 1780776153 | Laura Christine Balliett-box | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-09-29 |
| 1639451511 | Christina Dawn Adkins | Pharmacist | 4500 S Shields Blvd, Oklahoma City, OK 73129 | 2011-09-15 |
| 1235255746 | Felicia Dawn Cummings | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2007-03-22 |
| 1427134022 | Cyvil Brion Burks | Counselor | 744 Se 25th Street, Oklahoma City, OK 73129 | 2006-10-27 |
| Find all providers in zip 73129 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326425307 | Crisis Stabilization Unit | Rehabilitation, Substance Use Disorder Unit | 1219 K St Nw, Ardmore, OK 73401-1801 | 2015-04-29 |
| 1871987560 | Channell Marie Hayes | Rehabilitation, Substance Use Disorder Unit | 1219 K St Nw, Ardmore, OK 73401-1801 | 2015-03-20 |
| 1255731576 | Marissa Lynn | Rehabilitation, Substance Use Disorder Unit | 1219 K St Nw, Ardmore, OK 73401-1801 | 2014-08-25 |
| 1538575774 | Kimberly Gray | Rehabilitation, Substance Use Disorder Unit | 1219 K St Nw, Ardmore, OK 73401-1801 | 2014-07-09 |
| 1215368907 | Debra Becerra | Rehabilitation, Substance Use Disorder Unit | 1219 K St Nw, Ardmore, OK 73401-1801 | 2013-12-05 |
| 1952551079 | Keetoowah-cherokee Treatment Services | Rehabilitation, Substance Use Disorder Unit | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2008-09-25 |
| 1124228127 | Keetoowah - Cherokee Treatment Services | Rehabilitation, Substance Use Disorder Unit | 2727 E Admiral Pl, Tulsa, OK 74110-5436 | 2007-07-19 |
| City | OKLAHOMA CITY |
| Zip Code | 73129 |
Please comment or provide details below to improve the information on ABSENTEE SHAWNEE COUNSELING SERVICES.
| 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.