NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER (NPI# 1629102504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629102504 |
| Entity Type | Organization |
| Organization Name | NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER |
| Other Organization Name | NORTH CARE CENTER |
| Practice Address |
21 Nw 44th St Rm 100 Lawton OK 73505-5915 |
| Mailing Address |
Po Box 12978 Oklahoma City OK 73157-2978 |
| Practice Telephone | 4058581700 |
| Practice Fax Number | 4058582810 |
| Mailing Telephone | 4058582700 |
| Mailing Fax Number | 4058582720 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | CYNTHIA WILLIS (PERSONNEL & COMPLIANCE OFFICER) |
| Authorized Official Telephone | 4058582821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100735340I | 05 |
| Other Name | Type Code |
|---|---|
| North Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182299 | North Oklahoma County Mental Health Center | Community/Behavioral Health | 4021 S Walker Ave, Oklahoma City, OK 73109-6972 | 2018-11-06 |
| 1568864205 | North Oklahoma County Mental Health Center | Community/Behavioral Health | 1416 N Ashton Pl, Oklahoma City, OK 73117-1043 | 2014-09-25 |
| 1639438674 | North Oklahoma County Mental Health Center | Community/Behavioral Health | 1911 E Rutgers, Guthrie, OK 73044-5718 | 2012-05-11 |
| 1093849440 | North Oklahoma County Mental Health Center | Counselor | 429 Barnes, Alva, OK 73717 | 2007-03-16 |
| 1114041324 | North Oklahoma County Mental Health Center | Counselor | 4436 N. W. 50th St., Oklahoma City, OK 73112-2212 | 2007-03-16 |
| 1336273192 | North Oklahoma County Mental Health Center | Counselor | 2323 W 7th Pl, Stillwater, OK 74074-1902 | 2007-03-15 |
| 1154455004 | North Oklahoma County Mental Health Center | Counselor | 119 W Paul Ave, Pauls Valley, OK 73075-3218 | 2007-03-15 |
| 1962534370 | North Oklahoma County Mental Health Center | Counselor | 3401 Ne 16th St, Oklahoma City, OK 73117-6818 | 2007-03-12 |
| 1811029085 | North Oklahoma County Mental Health Center | Counselor | 330 W Gray St Ste 110, Norman, OK 73069-7111 | 2007-03-12 |
| 1528148541 | North Oklahoma County Mental Health Center | Counselor | 4436 Nw 50th St, Oklahoma City, OK 73112-2212 | 2006-10-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH OKLAHOMA COUNTY MENTAL HEALTH CENTER | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 |
| Street Address |
21 NW 44TH ST RM 100 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-5915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600048 | Taylor Dawn Prosser | Counselor | 1904 Nw Cache Rd, Lawton, OK 73507-4539 | 2019-07-13 |
| 1871057893 | Roxanne Elizabeth Wiseman | Counselor | 1604 Nw Lake Ave, Lawton, OK 73507-6451 | 2019-01-23 |
| 1225506264 | Itai Chinhamo-wilson | Counselor | 1802 Nw Ferris Ave, Lawton, OK 73507-5625 | 2018-11-07 |
| 1275032807 | Michigan Therapy Center | Counselor | 60565 Springhaven Ct, Lawton, MI 49065-7687 | 2018-02-09 |
| 1720516313 | Cequinse Scruggs | Counselor | 2704 Nw 52nd St Apt S5, Lawton, OK 73505-1459 | 2017-05-26 |
| 1235679671 | Angela L. Stanley, Lpc | Counselor | 1529 W Gore Blvd, C2, Lawton, OK 73501-3646 | 2017-03-05 |
| 1518343201 | Lasonia Rogers | Counselor | 2513 Nw 38th Pl, Lawton, OK 73505 | 2015-08-04 |
| 1245635382 | Kelly Mills | Counselor | 215 Se Warwick Way, Lawton, OK 73501-6368 | 2014-10-31 |
| 1114333150 | Mark Slater | Counselor | 401 Ne Angus St, Lawton, OK 73507-1408 | 2014-07-10 |
| 1639580848 | Andrea Loftis | Counselor | 1311 Sw E Ave, Lawton, OK 73501-4716 | 2014-05-12 |
| Find all providers in LAWTON | ||||
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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.