PROVIDENCE OF OKLAHOMA (NPI# 1790008902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790008902 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE OF OKLAHOMA |
| Practice Address |
117 E Main St Hugo OK 74743-6237 |
| Practice Telephone | 5803267477 |
| Practice Fax Number | 5803266400 |
| Mailing Telephone | 5803267477 |
| Mailing Fax Number | 5803266400 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |
| Authorized Official Name | ANNJAVETTA D BABB (PSRS) |
| Authorized Official Telephone | 5803267477 |
| Authorized Official Credential | B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
117 E MAIN ST |
| City | HUGO |
| State | OK |
| Zip Code | 74743-6237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548527302 | Linda K Green | Counselor | 117 E Main St, Hugo, OK 74743-6237 | 2012-04-18 |
| 1730453374 | Darnell Hampton | Counselor | 117 E Main St, Hugo, OK 74743-6237 | 2012-02-29 |
| 1912292459 | Judy Kay Strickland | Counselor | 117 E Main St, Hugo, OK 74743-6237 | 2011-06-13 |
| 1376832311 | Tara A Myers | Counselor | 117 E Main St, Hugo, OK 74743-6237 | 2011-03-30 |
| 1801185848 | Janitra D Bostic | Counselor | 117 E Main St, Hugo, OK 74743-6237 | 2011-03-30 |
| 1164721056 | Providence Service Corp | Clinic/Center | 117 E Main St, Hugo, OK 74743-6237 | 2011-03-18 |
| 1144547324 | Jerri S Griffin | Counselor | 117 E Main St, Hugo, OK 74743-6237 | 2010-04-27 |
| 1376872549 | Jessica Lynn Watts | Licensed Practical Nurse | 117 E Main St, Hugo, OK 74743-6237 | 2009-12-16 |
| 1184766172 | Providence Service Corporation of Oklahoma | Case Management | 117 E Main St, Hugo, OK 74743-6237 | 2007-02-13 |
| 1922148766 | Jan L Skelton | Counselor | 117 E Main St, Hugo, OK 74743-6237 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053817775 | Emilia Sue Lopez | Registered Nurse | 2008 East 2110 Road, Hugo, OK 74743 | 2018-04-02 |
| 1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
| 1457801177 | Kelli Lemke | Nurse Practitioner | 204 E. Jackson St., Hugo, OK 74743 | 2016-10-05 |
| 1780040147 | Shabreka Dorshell Coleman | Student in an Organized Health Care Education/Training Program | 1475 North 4220 Road, Grant, OK 74743 | 2016-01-14 |
| 1063898161 | Jaclyn Deann Rouse | Optometrist | 410 North M Street, Hugo, OK 74743 | 2015-07-31 |
| 1548519648 | Tori L Fowler | Counselor | 112 W. Jackson, Hugo, OK 74743 | 2012-09-05 |
| 1174802219 | Malinda Burnett | Counselor | 1100 David Roebuck Lane, Hugo, OK 74743 | 2011-08-08 |
| 1942591490 | Joshua Asher Tims | Clinic/Center | 1213 E. Jackson St, Hugo, OK 74743 | 2011-05-02 |
| 1598998320 | Kimberly Dawn Jones | Social Worker | 1717 1/2 West Jackson, Hugo, OK 74743 | 2009-08-27 |
| 1689812547 | Adeline Youngblood | Counselor | 612 E Jackson, Hugo, OK 74743 | 2009-01-30 |
| Find all providers in zip 74743 | ||||
| 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 |
|---|---|---|---|---|
| 1154660652 | Tricounty Behavioral Health, LLC | Community/Behavioral Health | 203 E Jackson St, Hugo, OK 74743-4036 | 2013-02-05 |
| 1003060450 | Red River Counseling Center, LLC | Community/Behavioral Health | 100 N 5th St, Hugo, OK 74743-4005 | 2008-11-12 |
| 1619151941 | Lincoln County Wellness Foundation | Community/Behavioral Health | 103 Third St., Hugo, CO 80821 | 2007-12-21 |
| 1275658874 | Kiamichi Council On Alcoholism and Or Other Drug Abuse, Inc. | Community/Behavioral Health | 308 E Jefferson St, Hugo, OK 74743-4406 | 2007-03-20 |
| 1265966642 | Healing Hearts Counseling Center | Community/Behavioral Health | 3103 E Jackson St, Hugo, OK 74743-4051 | 2017-04-12 |
| 1467815464 | Four Seasons Counseling Services, Inc. | Community/Behavioral Health | 100 N 5th St, Hugo, OK 74743-4005 | 2016-03-29 |
| 1073938999 | Southeastern Oklahoma Family Services, Inc | Community/Behavioral Health | 1213 E Jackson St, Hugo, OK 74743-4229 | 2014-02-28 |
| 1013354299 | Healing Hearts Counseling Center, LLC | Community/Behavioral Health | 211 E Jackson St, Hugo, OK 74743-4036 | 2013-05-29 |
| 1922353119 | Cornerstone Counseling Service, L.L.C. | Community/Behavioral Health | 612 E Jackson St, Hugo, OK 74743 | 2012-07-13 |
| 1104183185 | Pathways Counseling Center of Oklahoma | Community/Behavioral Health | 112 W Jackson St, Hugo, OK 74743-3310 | 2012-04-16 |
| Find all providers in HUGO | ||||
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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.