MR. ERICK VAN WALDROP (NPI# 1538703798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538703798 |
| Entity Type | Individual |
| Full Name | MR. ERICK VAN WALDROP |
| Credential | LADC/MH COUNSELOR |
| Practice Address |
1613 Se 66th St Oklahoma City OK 73149-5203 |
| Practice Telephone | 4056163366 |
| Practice Fax Number | 4056164925 |
| Mailing Telephone | 4056163366 |
| Mailing Fax Number | 4056164925 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1613 SE 66TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73149-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770047326 | Jaely Deleon | Case Manager/Care Coordinator | 1613 Se 66th St, Oklahoma City, OK 73149-5203 | 2019-01-29 |
| 1336605666 | Randi N Anderson | Case Manager/Care Coordinator | 1613 Se 66th St, Oklahoma City, OK 73149-5203 | 2019-02-12 |
| 1033673686 | Brian James Turner II | Case Manager/Care Coordinator | 1613 Se 66th St, Oklahoma City, OK 73149-5203 | 2019-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649747841 | Pharmacorr, LLC | Pharmacy | 7400 Plaza Mayor Blvd, Ste 100, Oklahoma City, OK 73149 | 2018-10-26 |
| 1184910648 | Linda J Ellis | Counselor | 108 Corona Drive, Oklahoma City, OK 73149 | 2011-06-23 |
| 1922252766 | Sam's Optical, Oklahoma City, LLC | Durable Medical Equipment & Medical Supplies | 1078d Crossroads Mall, Oklahoma City, OK 73149 | 2008-11-06 |
| 1013193655 | American Current Care P.a. | Clinic/Center | 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 | 2008-01-14 |
| 1750401105 | Tiffany K. Loftis | Physical Therapist | 7100 South I-35 Service Rd, Suite 7, Oklahoma City, OK 73149 | 2007-03-30 |
| 1881711943 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 7100 S. I-35 Service Road, Suite 7, Oklahoma City, OK 73149 | 2007-03-23 |
| 1003146382 | Cleveland Nephrology, Pllc | Clinic/Center | 1059 Se 82nd, Oklahoma City, OK 73149 | 2010-01-08 |
| 1013935774 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2006-07-18 |
| 1316548332 | Ilana Betuel Peiroo | Pharmacist | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2020-11-05 |
| 1508466087 | Rebecca Frye | Pharmacist | 100 E I 240 Service Rd, Oklahoma City, OK 73149-1612 | 2020-10-26 |
| Find all providers in zip 73149 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
| 1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
| 1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
| 1942819081 | Michael Sylvester Radonski | Counselor | 14700 Rambling Creek Cir, Oklahoma City, OK 73142-9719 | 2020-07-24 |
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1730713884 | Hanna Pauline Nassar | Counselor | 405 Nw 33rd St, Oklahoma City, OK 73118-8644 | 2020-02-27 |
| 1699319475 | Stephanie Gaynell Potts | Counselor | 1724 Ne 54th St, Oklahoma City, OK 73111-6832 | 2019-11-04 |
| 1962062471 | Babatunde Olumuyiwa Sosanya | Counselor | 1900 N Macarthur Blvd Ste 125, Oklahoma City, OK 73127-2650 | 2019-06-17 |
| 1598321440 | Tiba Counseling Center, Inc. | Counselor | 4301 Nw 63rd St Ste 305, Oklahoma City, OK 73116-1504 | 2019-05-16 |
| 1588132542 | Allison Martha Gibson | Counselor | 2525 Nw Expressway Ste 220, Oklahoma City, OK 73112-7227 | 2018-11-08 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73149 |
Please comment or provide details below to improve the information on MR. ERICK VAN WALDROP.
| 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.