MR. KENNETH RAY CONSTANTINE (NPI# 1609959147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609959147 |
| Entity Type | Individual |
| Full Name | MR. KENNETH RAY CONSTANTINE |
| Credential | M.S./LPC |
| Practice Address |
1105 Lynnwood St Durant OK 74701-2919 |
| Mailing Address |
1530 Butterfield Trl Durant OK 74701-8420 |
| Practice Telephone | 5809313441 |
| Practice Fax Number | 5809246775 |
| Mailing Telephone | 5809201093 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3566 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1105 LYNNWOOD ST |
| City | DURANT |
| State | OK |
| Zip Code | 74701-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032344 | Lucas Adam Wright | Case Manager/Care Coordinator | 1105 Lynnwood St, Durant, OK 74701-2919 | 2020-01-13 |
| 1760816243 | Patra Denise Watson | Case Manager/Care Coordinator | 1105 Lynnwood St, Durant, OK 74701-2919 | 2013-09-03 |
| 1033543012 | Kassie Rae Smelser | Case Manager/Care Coordinator | 1105 Lynnwood St, Durant, OK 74701-2919 | 2013-08-27 |
| 1982038055 | Sheila Kathleen Folsom | Case Manager/Care Coordinator | 1105 Lynnwood St, Durant, OK 74701-2919 | 2013-08-26 |
| 1396094975 | Ashley L Beshears | Counselor | 1105 Lynnwood St, Durant, OK 74701-2919 | 2012-08-29 |
| 1326303579 | Whitney Leerin Adkins | Case Manager/Care Coordinator | 1105 Lynnwood St, Durant, OK 74701-2919 | 2012-07-12 |
| 1659645851 | Stormy M Patterson | Case Manager/Care Coordinator | 1105 Lynnwood St, Durant, OK 74701-2919 | 2012-03-06 |
| 1881990976 | Kathleen N Shadron | Counselor | 1105 Lynnwood St, Durant, OK 74701-2919 | 2011-02-07 |
| 1508162603 | Brad R Northcott | Counselor | 1105 Lynnwood St, Durant, OK 74701-2919 | 2011-02-07 |
| 1548589401 | Estelle Holland | Counselor | 1105 Lynnwood St, Durant, OK 74701-2919 | 2010-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851718274 | Cardilia Nix | Counselor | 3011 N 1st Ave Apt 5, Durant, OK 74701-2577 | 2014-03-24 |
| 1811281751 | Paulla Chantell Slawson | Counselor | 1581 Highway 48 N, Durant, OK 74701-9289 | 2011-06-08 |
| 1225351273 | Sheila A. Timberlake | Counselor | 801 W Main St Ste A, Durant, OK 74701-5069 | 2010-03-04 |
| 1902131477 | Heather Mcclelland | Counselor | 3600 Dawna St, Durant, OK 74701-2953 | 2009-10-16 |
| 1679776991 | Counseling and Counsulting, Inc. | Counselor | 3122 Meagan, Durant, OK 74701 | 2007-06-06 |
| 1508999558 | Jerry Wyatt | Counselor | 1925 W Elm St, Durant, OK 74701-3429 | 2007-03-13 |
| 1700919750 | Jeania Boon | Counselor | 213 Kolten Dr, Durant, OK 74701-7813 | 2007-03-13 |
| 1467585463 | Linda Coffman | Counselor | 1604 N Washington Ave, Durant, OK 74701-2128 | 2007-03-13 |
| 1467507186 | Amy Richardson | Counselor | 622 Bryan Dr, Durant, OK 74701-3462 | 2007-01-24 |
| 1316039266 | Nicholi Katharina Dillow | Counselor | 4584 Armstrong Road, Durant, OK 74701 | 2006-09-29 |
| Find all providers in DURANT | ||||
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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.