CREOKS MENTAL HEALTH SERVICES (NPI# 1689219263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689219263 |
| Entity Type | Organization |
| Organization Name | CREOKS MENTAL HEALTH SERVICES |
| Practice Address |
2807 N Broadway St Ste C Poteau OK 74953-5557 |
| Mailing Address |
4103 S Yale Ave Ste B Tulsa OK 74135-6002 |
| Practice Telephone | 9186477000 |
| Mailing Telephone | 9183827300 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | TABITHA TALBOT (GOHEALTH HELPDESK MANAGER) |
| Authorized Official Telephone | 9183827300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712316 | Creoks Mental Health Services | Clinic/Center | 19320 E Admiral Pl Ste B, Catoosa, OK 74015-3240 | 2020-02-21 |
| 1528603198 | Creoks Mental Health Services | Clinic/Center | 186 W Court St, Atoka, OK 74525-1822 | 2019-11-07 |
| 1699310276 | Creoks Mental Health Services | Community/Behavioral Health | 4704 Nw Motif Manor Blvd Ste 4, Lawton, OK 73505-4800 | 2019-11-07 |
| 1598316358 | Creoks Mental Health Services | Clinic/Center | 2548 E Kenosha St, Broken Arrow, OK 74014-6712 | 2019-09-24 |
| 1225333826 | Creoks Mental Health Services | Community/Behavioral Health | 716 S 2nd St Ste 101, Stilwell, OK 74960-4806 | 2011-01-13 |
| 1043331499 | Creoks Mental Health Services | Community/Behavioral Health | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2007-04-03 |
| 1841311289 | Creoks Mental Health Services | Community/Behavioral Health | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 | 2007-04-03 |
| 1568004232 | Creoks Mental Health Services | Pharmacy | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 | 2019-10-14 |
| 1104360692 | Creoks Mental Health Services | Community/Behavioral Health | 203 2nd Ave Sw, Miami, OK 74354-6818 | 2016-12-19 |
| 1700136900 | Creoks Mental Health Services | Community/Behavioral Health | 2 S Coo Y Yah St, Suite 4, Pryor, OK 74361-4636 | 2012-09-14 |
| Street Address |
2807 N BROADWAY ST STE C |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-5557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| 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 |
|---|---|---|---|---|
| 1083253819 | Mindful Well Being Counseling Services LLC | Community/Behavioral Health | 203 S Mckenna St, Poteau, OK 74953-4322 | 2019-12-26 |
| 1356890149 | Counseling Services of Leflore County | Community/Behavioral Health | 1335 Po Box, Poteau, OK 74953-1276 | 2016-09-22 |
| 1306243233 | Bright Skies Community Services Inc. | Community/Behavioral Health | 2405 N Broadway St, Poteau, OK 74953-2014 | 2014-11-20 |
| 1326302290 | Sondra Ann Sampson | Community/Behavioral Health | 114 John Dr, Poteau, OK 74953-2005 | 2012-06-26 |
| 1558692764 | Thrive Counseling Group, Inc. | Community/Behavioral Health | 3111 B N. Broadway, Poteau, OK 74953-0055 | 2010-01-28 |
| 1215168703 | River Valley Counseling Service, LLC | Community/Behavioral Health | 502 Dewey Avenue, Poteau, OK 74953 | 2009-07-31 |
| 1700907730 | Leflore County Youth Services, Inc. | Community/Behavioral Health | 320 Dewey Ave, Poteau, OK 74953-4212 | 2007-04-03 |
| 1760544076 | Ki Bois Community Action Foundation | Community/Behavioral Health | 204 Wall St, Poteau, OK 74953-4400 | 2006-12-14 |
| 1134666977 | Millennium Community Mental Health Services LLC | Community/Behavioral Health | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2017-01-31 |
| 1245632306 | Eastern Oklahoma Mental Health & Counseling LLC | Community/Behavioral Health | 1011 N Broadway St, Poteau, OK 74953-2609 | 2014-09-20 |
| Find all providers in POTEAU | ||||
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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.