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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Red Rock Behavioral Health Services Lawton | Doing Business As Name - Organization |
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 |
Street Address |
4202 SW LEE BLVD |
City | LAWTON |
State | OK |
Zip Code | 73505-8300 |
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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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 | 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 |
---|---|---|---|---|
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 |
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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.