PUSHMATAHA COUNSELING SERVICES, INC. (NPI# 1508065970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508065970 |
| Entity Type | Organization |
| Organization Name | PUSHMATAHA COUNSELING SERVICES, INC. |
| Practice Address |
205 S Adair St Pryor OK 74361-5201 |
| Practice Telephone | 9188254872 |
| Mailing Telephone | 9188254872 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |
| Authorized Official Name | GARRY WAYNE RUSSELL (PRESIDENT/CEO) |
| Authorized Official Telephone | 9188254872 |
| Authorized Official Credential | LADC, MHR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 251S00000X | OK | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588808109 | Pushmataha Counseling Services, Inc. | Community/Behavioral Health | 205 S Adair St, Pryor, OK 74361-5201 | 2009-04-27 |
| Street Address |
205 S ADAIR ST |
| City | PRYOR |
| State | OK |
| Zip Code | 74361-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548469380 | Garry Wayne Russell | Counselor | 205 S Adair St, Pryor, OK 74361-5201 | 2007-07-12 |
| 1023535770 | Paul Dean Mcfarland | Peer Specialist | 205 S Adair St, Pryor, OK 74361-5201 | 2017-08-24 |
| 1265854475 | Tracie Stone | Case Manager/Care Coordinator | 205 S Adair St, Pryor, OK 74361-5201 | 2014-01-08 |
| 1538495692 | Marti Leeann Nichols | Psychologist | 205 S Adair St, Pryor, OK 74361-5201 | 2009-10-26 |
| 1588808109 | Pushmataha Counseling Services, Inc. | Community/Behavioral Health | 205 S Adair St, Pryor, OK 74361-5201 | 2009-04-27 |
| 1760682439 | Kelli Anderson | Counselor | 205 S Adair St, Pryor, OK 74361-5201 | 2007-07-20 |
| 1710187711 | James Keith Schardein II | Counselor | 205 S Adair St, Pryor, OK 74361-5201 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
| 1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
| 1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
| 1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
| 1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
| 1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
| 1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
| 1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
| 1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
| Find all providers in zip 74361 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306111588 | Counseling Connections, Inc | Community/Behavioral Health | 20 Court Pl, Pryor, OK 74361-2452 | 2012-03-20 |
| 1730410267 | Rocmnd Area Youth Services Inc. | Community/Behavioral Health | 212 Se. 1st, Pryor, OK 74362-0912 | 2010-01-22 |
| 1700136900 | Creoks Mental Health Services | Community/Behavioral Health | 2 S Coo Y Yah St, Suite 4, Pryor, OK 74361-4636 | 2012-09-14 |
| 1649501859 | Rocmnd Area Youth Services Inc | Community/Behavioral Health | 212 Se 1st, Pryor, OK 74361 | 2010-01-28 |
| 1588808109 | Pushmataha Counseling Services, Inc. | Community/Behavioral Health | 205 S Adair St, Pryor, OK 74361-5201 | 2009-04-27 |
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|---|---|---|---|---|
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| 1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
| 1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
| 1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
| 1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
| 1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
| 1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
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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.