ANDREKA PACE (NPI# 1417393380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417393380 |
| Entity Type | Individual |
| Full Name | ANDREKA PACE |
| Credential | BHRS |
| Practice Address |
223 W Southside Boulevard Muskogee OK 74401 |
| Practice Telephone | 9183100366 |
| Mailing Telephone | 9183100366 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
223 W SOUTHSIDE BOULEVARD |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| 1194959296 | George Abdelnour | Dentist | 615 W Shawnee Bypass, Muskogee, OK 74401 | 2009-05-05 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531252 | Lori Jefferson | Counselor | 207 S 11th St, Muskogee, OK 74401-6818 | 2020-02-25 |
| 1023538410 | Robyn Dunaway | Counselor | 1423 E Okmulgee St, Muskogee, OK 74403-5645 | 2017-06-26 |
| 1366978835 | Logan Ray Stinson | Counselor | 6220 W Shawnee St, Muskogee, OK 74401-1028 | 2017-05-03 |
| 1952768442 | Angel Morgan | Counselor | 423 W Broadway St, Muskogee, OK 74401-6614 | 2016-01-28 |
| 1063854677 | Cathy Evans Griffin | Counselor | 311 Douglas St, Muskogee, OK 74401-4114 | 2013-07-24 |
| 1912264144 | Rachella Fennell | Counselor | 931 S 2nd St, Muskogee, OK 74401-7813 | 2012-04-12 |
| 1255629077 | Winona Lee Scott | Counselor | 3610 1/2 W Lindsey St, Muskogee, OK 74401-1881 | 2011-07-13 |
| 1407490568 | Endacia Lyday | Counselor | 433 W Broadway St, Muskogee, OK 74401-6614 | 2019-11-01 |
| 1174096960 | Andre English | Counselor | 814 W Okmulgee St, Muskogee, OK 74401-6839 | 2019-01-04 |
| 1225524150 | Zoheth Torres | Counselor | 814 W Okmulgee St, Muskogee, OK 74401-6839 | 2018-07-03 |
| Find all providers in MUSKOGEE | ||||
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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.