CENTER 4 CHANGE, L.L.C. (NPI# 1437468725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437468725 |
| Entity Type | Organization |
| Organization Name | CENTER 4 CHANGE, L.L.C. |
| Other Organization Name | CENTER 4 CHANGE |
| Practice Address |
111 S Main St Mcalester OK 74501-5363 |
| Practice Telephone | 9186949677 |
| Practice Fax Number | 9184235255 |
| Mailing Telephone | 9186949677 |
| Mailing Fax Number | 9184235255 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | MS. BARBARA J. COUNTZ (PRESIDENT) |
| Authorized Official Telephone | 9186949677 |
| Authorized Official Credential | M.ED., L.P.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | 133823 | OK | Other Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
4163 | OK | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Center 4 Change | Doing Business As Name - Organization |
| Street Address |
111 S MAIN ST |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-5363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565831 | Patricia Faye Williams | Community/Behavioral Health | 111 S Main St, Mcalester, OK 74501-5303 | 2015-04-14 |
| 1760873335 | Gregory Nathan Melancon | Counselor | 111 S Main St, Mcalester, OK 74501-5303 | 2015-02-18 |
| 1316369093 | John Christian Cassell | Case Management | 111 S Main St, Mcalester, OK 74501-5303 | 2014-01-14 |
| 1790114650 | Center4change | Social Worker | 111 S Main St, Mcalester, OK 74501-5303 | 2013-11-01 |
| 1760827281 | Brenda S. Gann | Case Management | 111 S Main St, Mcalester, OK 74501-5363 | 2013-05-10 |
| 1053652636 | Bessie Ott | Health Maintenance Organization | 111 S Main St, Mcalester, OK 74501-5363 | 2013-03-07 |
| 1679813349 | Karen Williams | Counselor | 111 S Main St, Mcalester, OK 74501-5303 | 2013-02-18 |
| 1932445616 | Center 4 Change, LLC | Case Management | 111 S Main St, Mcalester, OK 74501-5363 | 2012-12-27 |
| 1073876173 | Kami Runyon | Community Based Residential Treatment Facility, Mental Illness | 111 S Main St, Mcalester, OK 74501-5363 | 2012-06-22 |
| 1134488737 | Janet Daniel | Case Manager/Care Coordinator | 111 S Main St, Mcalester, OK 74501-5363 | 2012-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427571694 | Stacy Lynn Stanfield | Counselor | 2213 Sycamore St, Mcalester, OK 74501-3242 | 2017-07-19 |
| 1982037479 | Carissa Kemp | Counselor | 604 S 2nd St, Mcalester, OK 74501-5814 | 2013-08-20 |
| 1356665210 | Michelle Lynn Laurent | Counselor | 111 S. Main St. Center 4 Change, Mcalester, OK 74501 | 2010-03-22 |
| 1578899019 | Mellany Ann Painter | Counselor | 1600-1602 N D St, Mcalester, OK 74501 | 2009-10-18 |
| 1841526381 | Amanda Florenzano | Counselor | 171 Richardson Rd, Mcalester, OK 74501 | 2009-10-18 |
| 1114253655 | Rebecca Dugan | Counselor | 23 E Choctaw Ave Ste 3, Mcalester, OK 74501-5098 | 2009-10-18 |
| 1346488160 | Barbara J. Countz | Counselor | 111 South Main Street, Parents' Club, Inc., Mcalester, OK 74501 | 2009-02-02 |
| 1073751392 | Levenia Marie Carey | Counselor | 1019 Kinkead Rd, Mcalester, OK 74501-7704 | 2009-01-23 |
| 1326117573 | Joel Kenneth Duncan Jr. | Counselor | 104 E Carl Albert Pkwy, Mcalester, OK 74501-5092 | 2006-11-06 |
| 1245276898 | Sherri Fabry | Counselor | 628 E Creek Ave, Mcalester, OK 74501-6930 | 2006-06-21 |
| Find all providers in MCALESTER | ||||
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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.