LIFE VISION (NPI# 1699102640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699102640 |
| Entity Type | Organization |
| Organization Name | LIFE VISION |
| Practice Address |
2101 N Ash St Ponca City OK 74601-1106 |
| Mailing Address |
11605 S Q St Ponca City OK 74601-7565 |
| Practice Telephone | 5807164787 |
| Mailing Telephone | 5807164787 |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-10-07 |
| Authorized Official Name | TERA BIAGGI (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5807164787 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 3696 | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200288910C | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | LIFE VISION COUNSELING SERVICES, P.L.L.C. | 2500 S Broadway, Ste 110, Edmond, OK 73013 |
| Colorado Business Entities | Life Vision, LLC | 4656 Ponderosa Trail, Littleton, CO 80125 |
| Colorado Business Entities | Life Visionary Coach P.C. | Po Box 3655, Eagle, CO 81631 |
| Virginia Business Entities | Life Visions Media LLC | Po Box 4931, 6498 Brick Hearth Court, Alex, Virginia 22306 |
| System for Award Management (SAM) Entities | LIFE VISIONS, LLC | 18441 Roseland Blvd, Lathrup Village, MI 48076-7009 |
| Street Address |
2101 N ASH ST |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| 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 |
|---|---|---|---|---|
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
| 1124374558 | Laura Peitz Counseling Services, LLC | Community/Behavioral Health | 1912 Lake Rd, Ponca City, OK 74604-4800 | 2012-08-03 |
| 1003180068 | Wendy Renee Burg | Community/Behavioral Health | 1700 Holbrook St, Ponca City, OK 74604-3809 | 2012-03-07 |
| 1710109178 | Northern Oklahoma Youth Services | Community/Behavioral Health | 2203 N Ash St, Ponca City, OK 74601-1108 | 2007-05-03 |
| 1043382484 | Edwin Fair Community Mental Health Center, Inc. | Community/Behavioral Health | 1500 N 5th St, Ponca City, OK 74601-2758 | 2006-11-14 |
| 1073023537 | Blaine Catherine Ward | Community/Behavioral Health | 201 E Chestnut Ave, Ponca City, OK 74601-4311 | 2017-10-10 |
| 1780062943 | Preferred Family Healthcare, Inc. | Community/Behavioral Health | 609 E Hartford Ave, Ponca City, OK 74601-2006 | 2015-05-08 |
| 1760895684 | Dayspring Community Services | Community/Behavioral Health | 400 E Central Ave, Suite 504, Ponca City, OK 74601-5429 | 2014-06-09 |
| 1659536977 | Choices for Life Counseling Inc. | Community/Behavioral Health | 205 W Hartford Ave, Ponca City, OK 74601-1547 | 2008-07-25 |
| 1972764736 | Edwin Fair Cmhc | Community/Behavioral Health | 201 E Chestnut Ave, Ponca City, OK 74601-4311 | 2008-06-24 |
| Find all providers in PONCA CITY | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on LIFE VISION.
| 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.