CREOKS BEHAVIORAL HEALTH SERVICES (NPI# 1447812029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447812029 |
| Entity Type | Organization |
| Organization Name | CREOKS BEHAVIORAL HEALTH SERVICES |
| Practice Address |
1500 N 6th St Ponca City OK 74601-2827 |
| Mailing Address |
Po Box 700360 Tulsa OK 74170-0360 |
| Practice Telephone | 9183827300 |
| Mailing Telephone | 9183827300 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | TABITHA TALBOT (GH HELPDESK MANAGER) |
| Authorized Official Telephone | 9183827300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194152843 | Creoks Behavioral Health Services | Case Management | 608 S Wilson Ave, Okmulgee, OK 74447-6139 | 2013-09-26 |
| 1619312188 | Creoks Behavioral Health Services | Community/Behavioral Health | 1059 E 60th St, # 222, Tulsa, OK 74105-8331 | 2013-05-09 |
| 1427311687 | Creoks Behavioral Health Services | Community/Behavioral Health | 426 W Los Angeles Pl, Broken Arrow, OK 74011-4835 | 2012-06-21 |
| 1487867263 | Creoks Behavioral Health Services | Community/Behavioral Health | 2455 N Boston Pl, Tulsa, OK 74106-3610 | 2007-05-08 |
| 1558815936 | Creoks Behavioral Health Services | Case Management | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2016-08-15 |
| 1912327107 | Creoks Behavioral Health Services | Case Management | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2014-04-26 |
| 1609164490 | Creoks Behavioral Health Services | Community/Behavioral Health | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2011-07-14 |
| 1821257940 | Creoks Behavioral Health Services | Case Management | 209 W Broadway St, Okemah, OK 74859-2618 | 2008-06-04 |
| 1841479110 | Creoks Behavioral Health Services | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2007-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CREOKS BEHAVIORAL HEALTH SERVICES | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 |
| Street Address |
1500 N 6TH ST |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730130170 | Geoffrey H. Cowan | Counselor | 1500 N 6th St, Ponca City, OK 74601-2827 | 2006-05-12 |
| 1033689005 | Renia Lynn Batman | Counselor | 1500 N 6th St, Ponca City, OK 74601-2827 | 2018-12-03 |
| 1326531815 | Jeremy Jones | Social Worker | 1500 N 6th St, Ponca City, OK 74601-2827 | 2018-06-11 |
| 1962993162 | Krystal Jane Lawson | Case Manager/Care Coordinator | 1500 N 6th St, Ponca City, OK 74601-2827 | 2018-05-23 |
| 1306343546 | Jeanine Vest | Counselor | 1500 N 6th St, Ponca City, OK 74601-2827 | 2018-04-12 |
| 1891295911 | Chandra Kimble | Social Worker | 1500 N 6th St, Ponca City, OK 74601-2827 | 2018-02-15 |
| 1598265605 | Jenny Rae Kizziar | Case Manager/Care Coordinator | 1500 N 6th St, Ponca City, OK 74601-2827 | 2018-02-15 |
| 1164921730 | Jamie Lee Dunster | Case Manager/Care Coordinator | 1500 N 6th St, Ponca City, OK 74601-2827 | 2018-02-08 |
| 1003324021 | Jennifer Lyn Johnson | Case Manager/Care Coordinator | 1500 N 6th St, Ponca City, OK 74601-2827 | 2018-01-11 |
| 1104344019 | Shelby Mary-maxine Schutte | Case Manager/Care Coordinator | 1500 N 6th St, Ponca City, OK 74601-2827 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609224484 | Warren Rivers | Clinic/Center | 602 W. Grand Avenue, Bridgeway Inc, Ponca City, OK 74602-0883 | 2016-06-02 |
| 1851415673 | Cimarron Valley Therapeutic Services, Inc. | Clinic/Center | 205 W Hartford Ave, Ponca City, OK 74601-1547 | 2007-03-19 |
| 1043842370 | Grand Lake Mental Health Center Inc | Clinic/Center | 2225 N Union St., Ponca City, OK 74601-7460 | 2020-02-05 |
| 1851931794 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 110 N 4th St, Ponca City, OK 74601-4527 | 2020-01-08 |
| 1306394788 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 110 N 4th St, Ponca City, OK 74601-4527 | 2016-09-14 |
| 1821403643 | Healing Heart and Mind Counseling, LLC | Clinic/Center | 222 E Grand Ave, Suite 300, Ponca City, OK 74601-4316 | 2014-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on CREOKS BEHAVIORAL HEALTH 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.