TIBA COUNSELING CENTER, INC. (NPI# 1598321440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598321440 |
| Entity Type | Organization |
| Organization Name | TIBA COUNSELING CENTER, INC. |
| Practice Address |
4301 Nw 63rd St Ste 305 Oklahoma City OK 73116-1504 |
| Mailing Address |
3801 Nw 63rd St Ste 137 Oklahoma City OK 73116-1921 |
| Practice Telephone | 4052346804 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | ASHLEY BRYANT (DIRECTOR) |
| Authorized Official Telephone | 4052346804 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200346790 | 05 |
| Street Address |
4301 NW 63RD ST STE 305 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758224 | Taylor Christine Clinton | Counselor | 3838 Nw 36th St Ste 300, Oklahoma City, OK 73112-2970 | 2020-10-22 |
| 1518585595 | Twelfth House Wellness LLC | Counselor | 1929 Nw 29th St, Oklahoma City, OK 73106-1019 | 2020-07-07 |
| 1902451040 | Latonyia Yvette Rogers | Counselor | 4001 N Classen Blvd Ste 200, Oklahoma City, OK 73118-2683 | 2019-08-06 |
| 1679139182 | Teresa Ann Larkin | Counselor | 1916 Nw 17th St, Oklahoma City, OK 73106-1804 | 2019-05-10 |
| 1326511767 | Andrea Burton | Counselor | 2724 Plymouth Ln, Oklahoma City, OK 73120-3016 | 2019-01-08 |
| 1659840064 | It Starts With You, Lpc Pllc | Counselor | 200 N Harvey Ave Apt 906, Oklahoma City, OK 73102-4023 | 2018-11-14 |
| 1164939765 | Personal Revolutions Behavioral Health Services, LLC | Counselor | 6801 S Western Ave Ste 105, Oklahoma City, OK 73139-1816 | 2018-01-04 |
| 1285143370 | Elizabeth M. Cocke, LLC | Counselor | 1826 Westminster Pl, Oklahoma City, OK 73120-4702 | 2017-09-21 |
| 1003331075 | Oden Counseling, Pllc | Counselor | 3033 Nw 63rd St Ste 151e, Oklahoma City, OK 73116-3634 | 2017-08-10 |
| 1982127395 | Brook Beavers | Counselor | 4045 Nw 64th St Ste 520, Oklahoma City, OK 73116-8608 | 2017-07-18 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
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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.