NW DOMESTIC CRISIS SERVICES, INC (NPI# 1538384854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538384854 |
| Entity Type | Organization |
| Organization Name | NW DOMESTIC CRISIS SERVICES, INC |
| Practice Address |
1323 Kansas Ave Woodward OK 73801-3011 |
| Practice Telephone | 5802561215 |
| Practice Fax Number | 5802561245 |
| Mailing Telephone | 5802561215 |
| Mailing Fax Number | 5802561245 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAUL D FOCKLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5802561215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1323 KANSAS AVE |
| City | WOODWARD |
| State | OK |
| Zip Code | 73801-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205098332 | Northwest Domestic Crisis Services Inc | Case Management | 1323 Kansas Ave, Woodward, OK 73801-3011 | 2008-06-30 |
| 1235358466 | Northwest Domestic Crisis Services, Inc | Community/Behavioral Health | 1323 Kansas Ave, Same, Woodward, OK 73801-3011 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370662 | Team Clinic Management Partners LLC | Clinic/Center | 914 Oak Ave, Woodward, OK 73801 | 2020-06-12 |
| 1720603996 | Team Clinic Management Partners LLC | Clinic/Center | 3801 34th St, Woodward, OK 73801 | 2020-06-12 |
| 1609069095 | Regional Chiropractic & Rehabilitation | Chiropractor | 1111 Hillcrest, Woodward, OK 73801 | 2007-08-20 |
| 1497963110 | Air Evac Ems Inc | Ambulance | 1620 Santa Fe St, Woodward, OK 73801 | 2007-05-18 |
| 1326260548 | Chiropractic Health Center | Chiropractor | 1123 Main Street, Woodward, OK 73801 | 2007-05-03 |
| 1700950201 | State of Oklahoma | Substance Abuse Rehabilitation Facility | 5050 Williams Avenue, Northwest Center for Behavioral Health, Woodward, OK 73801 | 2006-11-17 |
| 1801804521 | Richard D Kahoe | Psychologist | 1607 Main, Woodward, OK 73801 | 2006-08-04 |
| 1477578862 | Corley Mark Palmer | Internal Medicine | 900 17th St., Woodward Regional Hospital, Woodward, OK 73801 | 2006-07-13 |
| 1871520098 | L Ann Farrar | Nurse Anesthetist, Certified Registered | 900 17th Street, Woodward, OK 73801 | 2006-06-26 |
| 1093741704 | Leslie Anne Tevebaugh | Dentist | 1722 Main Street, Woodward, OK 73801 | 2006-06-24 |
| Find all providers in zip 73801 | ||||
| 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 |
|---|---|---|---|---|
| 1750648739 | Center for Healing One's Private Emotions | Counselor | 1211 34th St, Suite #7, Woodward, OK 73801-1807 | 2012-04-16 |
| 1568733657 | Jennifer Wade Stafford | Counselor | 202639 E County Road 42, Woodward, OK 73801-5442 | 2012-01-20 |
| 1346755055 | Robbie Knight | Counselor | 202639 E County Road 42, Woodward, OK 73801-5442 | 2017-12-05 |
| 1649782558 | Brianne L Henricks | Counselor | 202639 E County Road 42, Woodward, OK 73801-5442 | 2017-11-01 |
| 1285151241 | Trudy L Hoffman | Counselor | 1222 10th St Ste 211, Woodward, OK 73801-3156 | 2017-08-29 |
| 1174059869 | Delaini De La Cerda | Counselor | 202639 E County Road 42, Woodward, OK 73801-5442 | 2017-05-02 |
| 1265970032 | Tyler Trice | Counselor | 1222 10th St, Suite 211, Woodward, OK 73801-3156 | 2017-02-01 |
| 1588114326 | Cody Ferguson | Counselor | 202639 E County Road 42, Woodward, OK 73801-5442 | 2016-10-05 |
| 1225482383 | Stephanie Fullbright | Counselor | 202639 E County Road 42, 202639 E. County Road 42, Woodward, OK 73801-5442 | 2016-04-14 |
| 1801278122 | Delon Brewer | Counselor | 202639 E County Road 42, Woodward, OK 73801-5442 | 2015-06-23 |
| Find all providers in WOODWARD | ||||
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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.