MR. MARSHALL LEO DEJEAR II (NPI# 1437433687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437433687 |
| Entity Type | Individual |
| Full Name | MR. MARSHALL LEO DEJEAR II |
| Practice Address |
601 Creek Dr Okmulgee OK 74447-6550 |
| Practice Telephone | 9187524341 |
| Practice Fax Number | 9187562233 |
| Mailing Telephone | 9187524341 |
| Mailing Fax Number | 9187562233 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
601 CREEK DR |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-6550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| 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 |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1124412697 | Marquette D. Higgs | Counselor | 533 N Okmulgee Ave, Okmulgee, OK 74447-3224 | 2015-03-23 |
| 1104262807 | Victoria Dee Jones | Counselor | 1018 E 9th St, Okmulgee, OK 74447-5204 | 2013-05-21 |
| 1225473259 | Chandra L. Miller | Counselor | 1514 E 10th St, Okmulgee, OK 74447-5308 | 2013-05-03 |
| 1811332943 | Michelle L Clevenger | Counselor | 114 N Grand Ave Ste 512, Okmulgee, OK 74447-4013 | 2013-05-02 |
| 1497029284 | Mable Danielle Crane | Counselor | 1701 Country Club Dr, Okmulgee, OK 74447-7101 | 2012-02-27 |
| 1548533698 | Cathryn Louise Umsted | Counselor | 1950 N Okmulgee Avenue, Okmulgee, OK 74447-6534 | 2012-02-21 |
| 1255635025 | Lila F. Binning | Counselor | 300 N Mission Ln, Okmulgee, OK 74447-3909 | 2011-01-07 |
| 1942504808 | Kristine Erika Schrader | Counselor | 1950 N Okmulgee Ave., Okmulgee, OK 74447-6534 | 2011-01-06 |
| 1437466331 | Catherine Zablocki | Counselor | 1012 W 6th St, Okmulgee, OK 74447-4517 | 2010-09-13 |
| Find all providers in OKMULGEE | ||||
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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.