JAMES KENNETH CLEMONS (NPI# 1639400484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639400484 |
Entity Type | Individual |
Full Name | JAMES KENNETH CLEMONS |
Credential | MS LPC |
Practice Address |
2725 Ne Euclid Ave Lawton OK 73507-7147 |
Practice Telephone | 5807045575 |
Practice Fax Number | 5805856436 |
Mailing Telephone | 5807045575 |
Mailing Fax Number | 5805856436 |
Enumeration Date | 2010-01-19 |
Last Update Date | 2010-01-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253J00000X | Foster Care Agency | 425 | OK | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100803130 C | 05 |
Street Address |
2725 NE EUCLID AVE |
City | LAWTON |
State | OK |
Zip Code | 73507-7147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
Find all providers in zip 73507 |
Taxonomy Code | 253J00000X |
Grouping | Agencies |
Classification | Foster Care Agency |
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376860551 | Safy of Oklahoma - Lawton | Foster Care Agency | 1320 Nw Homestead Dr, Suite G, Lawton, OK 73505-5243 | 2010-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043603376 | Arrow Child and Family Ministries of Oklahoma | Foster Care Agency | 7710 Nw 10th St, Oklahoma City, OK 73127-4413 | 2015-03-11 |
1740618305 | Good Samaritan Foster Care LLC | Foster Care Agency | 545 W Strothers Ave, Seminole, OK 74868-3126 | 2013-10-17 |
1073823431 | Melba Jo Atkinson | Foster Care Agency | 4777 110th. St., Byars, OK 74831 | 2010-10-19 |
1740826999 | Oklahoma Families First Inc | Foster Care Agency | 2227 W Lindsey St Ste 1550, Norman, OK 73069-4075 | 2019-11-22 |
1245780592 | Regina Shumate | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-10-11 |
1073067344 | Melissa Reading | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-08-04 |
1255789178 | Addison Bailie Mcconnell | Foster Care Agency | 904 Nw 4th St, Stigler, OK 74462-1653 | 2016-06-01 |
1407211444 | Choices for Life Foster Care Inc. | Foster Care Agency | 4101 Perimeter Center Dr, Suite 250, Oklahoma City, OK 73112-2302 | 2015-12-17 |
1669809745 | Yco West, Inc Tfc | Foster Care Agency | 222 E Sheridan Ave, Suite 2, Oklahoma City, OK 73104-4233 | 2013-10-03 |
1982046611 | Choices for Life | Foster Care Agency | 724 S Mission St, Sapulpa, OK 74066-4660 | 2013-07-23 |
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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.