OKLAHOMA MENTAL HEALTH COUNCIL


Address: 4202 Sw Lee Blvd, Lawton, OK 73505-8300
Phone: 4054247711

OKLAHOMA MENTAL HEALTH COUNCIL (NPI# 1659992634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659992634
Entity Type Organization
Organization Name OKLAHOMA MENTAL HEALTH COUNCIL
Practice Address 4202 Sw Lee Blvd
Lawton
OK 73505-8300
Mailing Address 4400 N Lincoln Blvd
Oklahoma City
OK 73105-5104
Practice Telephone 4054247711
Mailing Telephone 4054247711
Enumeration Date 2020-05-01
Last Update Date 2020-05-01
Authorized Official Name DAWN R HALL-JOHNSON (CREDENTIALING MANAGER)
Authorized Official Telephone 4054250428
Is Organization Subpart Y
Parent Organization Name OKLAHOMA MENTAL HEALTH COUNCIL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Red Rock Behavioral Health Services Lawton Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033694401 Oklahoma Mental Health Council Clinic/Center 215 W A St, Watonga, OK 73772-4207 2018-10-01
1669965315 Oklahoma Mental Health Council Community/Behavioral Health 118 W Broadway St Ste 106, Altus, OK 73521-3816 2018-06-07
1114320074 Oklahoma Mental Health Council Community/Behavioral Health 115 N Hudson St, Altus, OK 73521-3811 2014-10-06
1912287608 Oklahoma Mental Health Council Community/Behavioral Health 201 W Oklahoma Ave, Suites 218 & 219, Guthrie, OK 73044-3144 2011-08-25
1811283492 Oklahoma Mental Health Council Community/Behavioral Health 2245 Nw 39th St, Oklahoma City, OK 73112-8831 2011-06-22
1558505701 Oklahoma Mental Health Council Community/Behavioral Health 1501 West Commerce, Yukon, OK 73099 2009-04-30
1457568719 Oklahoma Mental Health Council Community/Behavioral Health 1605 E 1st St., Chandler, OK 74834 2007-05-17
1346456993 Oklahoma Mental Health Council Community/Behavioral Health 1175 S Ranchwood Blvd, Yukon, OK 73099-4871 2007-05-14
1235359548 Oklahoma Mental Health Council Community/Behavioral Health 112 Mickley N, Chandler, OK 74834 2007-04-27
1760967251 Oklahoma Mental Health Council Clinic/Center 804 W Choctaw Ave, Chickasha, OK 73018-2310 2018-10-01

Office Location

Street Address 4202 SW LEE BLVD
City LAWTON
State OK
Zip Code 73505-8300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013909605 Brian Gillam Birdwell Internal Medicine 4202 Sw Lee Blvd, Lawton, OK 73505-8300 2005-08-18
1700490570 Kristen Renee Molloy Student in an Organized Health Care Education/Training Program 4202 Sw Lee Blvd, Lawton, OK 73505-8300 2020-08-31
1548741358 Kimberly Nicole Clark Counselor 4202 Sw Lee Blvd, Lawton, OK 73505-8300 2018-08-29
1164800348 Comanche County Healthcare Corporation Internal Medicine 4202 Sw Lee Blvd, Bldg A Ste 104, Lawton, OK 73505-8300 2015-05-08
1609133669 Albert Arredondo Anesthesia Pllc Specialist 4202 Sw Lee Blvd, Bldg B Suite A, Lawton, OK 73505-8300 2012-04-16
1104053776 Laura White Pediatrics 4202 Sw Lee Blvd, Building B, Suite 100, Lawton, OK 73505-8343 2009-06-22
1841475035 Rosemary Bellino Md Inc Internal Medicine 4202 Sw Lee Blvd, Bldg A Suite 100, Lawton, OK 73505 2008-01-07
1679758866 Marty K Sanner Md PC Internal Medicine 4202 Sw Lee Blvd, Bldg A Suite 104, Lawton, OK 73505 2008-01-07
1265614812 James Sylvester Casebeer Pharmacist 4202 Sw Lee Blvd, Bldg B, Lawton, OK 73505-8300 2007-12-05
1114139334 Debra Anne Crawford Obstetrics & Gynecology 4202 Sw Lee Blvd, Bldg B, Suite A, Lawton, OK 73505-8300 2007-05-03
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Providers in the same zip code

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 Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699310276 Creoks Mental Health Services Community/Behavioral Health 4704 Nw Motif Manor Blvd Ste 4, Lawton, OK 73505-4800 2019-11-07
1992263776 Abundant Life Counseling Services Community/Behavioral Health 1105 Sw F Ave, Lawton, OK 73501-4720 2019-03-11
1427546514 Internal Connections Pllc Community/Behavioral Health 1303 W. Gore Blve, Suite 6, Lawton, OK 73501-3666 2018-04-25
1720517246 Community Strong Counseling LLC Community/Behavioral Health 1303 W Gore Blvd Ste 3, Lawton, OK 73501-3666 2017-06-08
1932569001 Jim Taliaferro Cmhc Community/Behavioral Health 327 Sw C Ave, Lawton, OK 73501-4016 2016-03-02
1174914287 Creative Life Counseling Services Community/Behavioral Health 502 North Sheridan, Suite 4, Lawton, OK 73505 2015-02-11
1750709903 Southern Oklahoma Treatment Services, Inc. Community/Behavioral Health 1309 Sw Washington Ave, Lawton, OK 73501-7231 2014-04-04
1699117796 Cordaris Onassis Butler Community/Behavioral Health 2800 West Gore Blvd, Lawton, OK 73505 2013-07-18
1295079705 Premier Behavorial Health Community/Behavioral Health 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 2012-11-21
1619255908 Eva Jane Fournier Community/Behavioral Health 1810 Nw Bell Ave, Lawton, OK 73507-6315 2011-08-03
Find all providers in LAWTON

Competitor

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City LAWTON
Zip Code 73505

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Dataset Information

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.

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