CREOKS MENTAL HEALTH SEERVICES (NPI# 1629341342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629341342 |
Entity Type | Organization |
Organization Name | CREOKS MENTAL HEALTH SEERVICES |
Practice Address |
401 S Dewey Ave Ste 108 Bartlesville OK 74003-3525 |
Mailing Address |
4301 South Yale Ave, Ste B Tulsa OK 74135 |
Practice Telephone | 9183360810 |
Practice Fax Number | 9183360836 |
Mailing Telephone | 9183827300 |
Mailing Fax Number | 9183827302 |
Enumeration Date | 2012-02-10 |
Last Update Date | 2019-10-11 |
Authorized Official Name | MRS. BRANDI SMITH (CLINICAL DIRECTOR) |
Authorized Official Telephone | 9183827300 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | CMHC-561 | OK | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100734620 | 05 |
Street Address |
401 S DEWEY AVE STE 108 |
City | BARTLESVILLE |
State | OK |
Zip Code | 74003-3525 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528687548 | Hailey Deann Smith | Social Worker | 401 S Dewey Ave Ste 108, Bartlesville, OK 74003-3525 | 2020-04-09 |
1558993691 | Jennifer A Adair | Case Manager/Care Coordinator | 401 S Dewey Ave Ste 108, Bartlesville, OK 74003-3525 | 2020-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
1780226506 | Heather Leigh Shoesmith | Speech-Language Pathologist | 117 West 5th Street, Bartlesville, OK 74003 | 2019-10-14 |
1356995815 | Monica Elizabeth Mccleary | Case Manager/Care Coordinator | 1804 S Dewey Ave, Bartlesville, OK 74003 | 2019-08-01 |
1396209359 | Newview Oklahoma Inc. | Occupational Therapy Assistant | 102 Sw Frank Phillips Blvd, Bartlesville, OK 74003 | 2019-01-24 |
1952762403 | Lee Ann Bond | Case Manager/Care Coordinator | 700 S.w. Penn Ave, Bartlesville, OK 74003 | 2016-03-11 |
1194102897 | Tiffany Jones | Case Manager/Care Coordinator | 1679 S Oal Ave, Bartlesville, OK 74003 | 2015-05-01 |
1073913125 | Kaileigh Jo Johnson | Behavioral Analyst | 700 S. Pen Ave, Bartlesville, OK 74003 | 2014-08-26 |
1699190595 | Mindy Karyl Mccoy | Occupational Therapist | 7256 Cr 2145, Bartlesville, OK 74003 | 2014-02-28 |
1841612025 | Kori A Sauer | Nurse Practitioner | 501 E. Frank Phillips Blvd., Suite 202, Bartlesville, OK 74003 | 2014-01-07 |
1265876122 | Teri G Woodward | Community Health Worker | 325 S Osage, Bartlesville, OK 74003 | 2013-04-23 |
Find all providers in zip 74003 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831439066 | The Center for Therapeutic Interventions | Community/Behavioral Health | 4100 Se Adams Rd Ste E108, Bartlesville, OK 74006-8409 | 2013-02-25 |
1003365867 | Children's Therapeutic Strategies, Pllc | Community/Behavioral Health | 4200 Se Adams Rd, Suite B, Bartlesville, OK 74006-8448 | 2016-09-22 |
1962741462 | Tfi Family Connections, LLC. | Community/Behavioral Health | 5204 Jacquelyn Ln, Ste 15, Bartlesville, OK 74006-7733 | 2013-02-05 |
1376818930 | Timothy David Stewart | Community/Behavioral Health | 1366a Se Washington Blvd, Bartlesville, OK 74006-4519 | 2012-03-15 |
1417288424 | Youth and Family Services | Community/Behavioral Health | 2200 Se Washington Blvd, Bartlesville, OK 74006-7135 | 2010-01-15 |
1376783241 | Health Network, LLC | Community/Behavioral Health | 4100 Se Adams Rd, Bartlesville, OK 74006-8437 | 2009-03-04 |
1912111600 | Youth and Family Services of Washington County | Community/Behavioral Health | 2200 Se Washington Blvd, Bartlesville, OK 74006-7135 | 2007-05-10 |
1255545950 | Youth and Family Services of Washington County | Community/Behavioral Health | 2200 Se Washington Blvd, Bartlesville, OK 74006-7135 | 2007-05-10 |
1093847246 | Youth and Family Services of Washington County | Community/Behavioral Health | 2200 Se Washington Blvd, Bartlesville, OK 74006-7135 | 2007-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
Find all providers with the same taxonomy |
City | BARTLESVILLE |
Zip Code | 74003 |
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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.