COMMUNITY ADOLESCENT REHABILITATIVE EFFORT FOR CHANGE INC (NPI# 1578690137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578690137 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ADOLESCENT REHABILITATIVE EFFORT FOR CHANGE INC |
| Other Organization Name | CARE FOR CHANGE |
| Practice Address |
3621 N Kelley Ave Ste 100 Oklahoma City OK 73111-4520 |
| Practice Telephone | 4055245525 |
| Practice Fax Number | 4055245528 |
| Mailing Telephone | 4055245525 |
| Mailing Fax Number | 4055245528 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | MS. CALETTA MCPHERSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4055245525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 261QM0804X | OK | Agencies |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100742980A | 05 |
| Other Name | Type Code |
|---|---|
| Care for Change | Doing Business As Name - Organization |
| Street Address |
3621 N KELLEY AVE STE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73111-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009886 | Cecilia Monique Blackwell | Peer Specialist | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2020-10-04 |
| 1922664986 | Linda Marie Campbell | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2019-05-15 |
| 1518491380 | Trenell Carter | Counselor | 3621 N Kelley Ave, Ste 100, Oklahoma City, OK 73111-4520 | 2017-04-18 |
| 1972037802 | Detra Michele Morton | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2017-04-18 |
| 1750783577 | Myelia Gerald | Counselor | 3621 N Kelley Ave, Suit 100, Oklahoma City, OK 73111-4520 | 2014-09-24 |
| 1962814822 | Zolunda Greenwood | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-05-27 |
| 1093127409 | Zamora Williams | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-05-20 |
| 1174943260 | Cassandra Pittmon | Case Manager/Care Coordinator | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-04-16 |
| 1356769780 | Gary Lewis | Counselor | 3621 N Kelley Ave, Ste 100, Oklahoma City, OK 73111-4520 | 2014-04-02 |
| 1255754750 | Lee Blackwood | Counselor | 3621 N Kelley Ave, Suite 100, Oklahoma City, OK 73111-4520 | 2014-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689114779 | Brandi N Ridley | Counselor | 3621 N. Kelley Ave Ste. 100, Oklahoma City, OK 73111 | 2017-03-08 |
| 1790134708 | Raymond Arthur Smith Jr. | Counselor | 2329 Nw 111th, Oklahoma, OK 73111 | 2016-06-09 |
| 1124485263 | Oklahoma City County Health Department | Public Health or Welfare | 2700 Ne 63rd Street, Oklahoma City, OK 73111 | 2016-01-20 |
| 1528438710 | Brendel Lacey | Case Manager/Care Coordinator | 3017 N Martin Luther King Avenue, Oklahoma City, OK 73111 | 2015-09-30 |
| 1194108746 | Mary Margaret Mcmiller | Social Worker | 2700 Ne 63rd St, Oklahoma City, OK 73111 | 2015-07-01 |
| 1386037349 | Michelle Patrick | Counselor | 2525 Nw Expressway Suite 531, Building Up People Behavioral Health Service, Oklahoma, OK 73111 | 2015-03-13 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1033458070 | Mary Boyles | Case Manager/Care Coordinator | 1732 N Kelly, Oklahoma, OK 73111 | 2013-02-12 |
| 1427312164 | Sharonda Lavon Bowie | Counselor | 1328 Ne 53rd St, Oklahoma City, OK 73111 | 2012-06-27 |
| 1598029373 | Michael Brown | Counselor | 4413 Rock Island Circle, Oklahoma City, OK 73111 | 2012-06-27 |
| Find all providers in zip 73111 | ||||
| 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 |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1144842923 | Forth Star Counseling LLC | Clinic/Center | 5350 S Western Ave Ste 731, Oklahoma City, OK 73109-4520 | 2020-05-14 |
| 1366082315 | Nourished | Clinic/Center | 10400 Vineyard Blvd Ste B, Oklahoma City, OK 73120-3830 | 2020-01-07 |
| 1750947487 | Counseling and Mediation Services of Oklahoma | Clinic/Center | 13909 Technology Dr, Oklahoma City, OK 73134-1056 | 2019-05-17 |
| 1801366554 | Divine Holistic Intervention Services LLC. | Clinic/Center | 1330 N Classen Blvd Ste 310, Oklahoma City, OK 73106-6834 | 2018-11-26 |
| 1518436518 | Total Care Behavioral Health Services, LLC | Clinic/Center | 5350 S Western Ave Ste 548, Oklahoma City, OK 73109-4536 | 2018-11-19 |
| 1780176479 | Penny Lane Therapy LLC | Clinic/Center | 4416 N Western Ave Ste 207, Oklahoma City, OK 73118-5256 | 2018-05-30 |
| 1134619646 | Anthony Sean Buckley | Clinic/Center | 8018 Nw 87th St, Oklahoma City, OK 73132-3229 | 2018-05-10 |
| 1801396924 | Higher Purpose Counseling Center LLC | Clinic/Center | 6444 Nw Expressway Ste 425d, Oklahoma City, OK 73132-8125 | 2018-02-15 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73111 |
Please comment or provide details below to improve the information on COMMUNITY ADOLESCENT REHABILITATIVE EFFORT FOR CHANGE INC.
| 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.