DANIEL K WELLMEIER I (NPI# 1811018443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811018443 |
| Entity Type | Individual |
| Full Name | DANIEL K WELLMEIER I |
| Credential | MSW,CADC,NCRS |
| Practice Address |
109 S Harrill Ave Wagoner OK 74467-5317 |
| Mailing Address |
109 S. Harrill Ave. Wagoner OK 74467-5301 |
| Practice Telephone | 9184853554 |
| Mailing Telephone | 9184853554 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13814 | IL | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
24367 | IL | Behavioral Health & Social Service Providers |
| Street Address |
109 S HARRILL AVE |
| City | WAGONER |
| State | OK |
| Zip Code | 74467-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710007067 | Lisette Caveny | Student in an Organized Health Care Education/Training Program | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2007-03-30 |
| 1265049654 | Shayla Ricchele Phillips | Clinic/Center | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-09-29 |
| 1417560988 | Matthew Trent Soldier | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-08-25 |
| 1447862578 | Courtney Kristine Sunderland | Social Worker | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-08-19 |
| 1164031704 | Jeremy Vanbrunt | Behavior Technician | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-07-29 |
| 1396363560 | Michael Dean Hutchings | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-07-13 |
| 1396360640 | Jordan Marquett Presley I | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-06-12 |
| 1730704149 | April C Price | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-06-11 |
| 1487278420 | Maeghan Lee Jakubovitz | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-06-05 |
| 1164044764 | Ashley M Wood | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
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| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1649691908 | Shawn Wall | Counselor | 68470 S 315 Rd, Wagoner, OK 74467-6292 | 2014-01-03 |
| 1811209422 | Judith Kay Beck | Counselor | 905 Brittany, Wagoner, OK 74467-8192 | 2010-07-12 |
| 1700915337 | Melissa Ann Mcdaris | Counselor | 706 Sw 3rd St, Wagoner, OK 74467-5515 | 2007-03-02 |
| 1740433358 | Jonathan David Pierce | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2008-10-28 |
| 1003090903 | James C Washington | Counselor | 301 Se 11th St, Wagoner, OK 74467-7513 | 2007-12-27 |
| 1346431343 | Cheryl Legg | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2007-08-05 |
| 1467679175 | Brenda Gayle Clark | Counselor | 109 S. Harrill, Wagoner, OK 74467-5317 | 2007-04-20 |
| 1376664136 | Norma C Cobb | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341337 | Juan Miguel Jimenez | Counselor | 713 Nw 139th St, Edmond, OK 73013-1912 | 2020-09-22 |
| 1790396042 | Amazing Life Behavioral Health and Addiction Services | Counselor | 324 N 19th St Ste 101, Guthrie, OK 73044-2117 | 2020-08-11 |
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1417565243 | Angela Darlene Brooks | Counselor | 3605 Ne 142nd Ct, Edmond, OK 73013-7224 | 2020-07-17 |
| 1285252304 | Max Anna Hanna | Counselor | 2600 W. Coffee Creek Rd, Edmond, OK 73025 | 2020-07-07 |
| 1366060444 | John Christopher Lewis | Counselor | 6302 N Garrison Ave, Tulsa, OK 74126-1512 | 2020-07-06 |
| 1710502505 | Sally Smith | Counselor | 4525 Southcreek Rd, Moore, OK 73165-7359 | 2020-06-08 |
| 1487273223 | Maxwell Brown Enterprise, LLC | Counselor | 250 E Apache St, Tulsa, OK 74106-3702 | 2020-04-12 |
| 1679105068 | Audrey June Halfacre | Counselor | 4803 Ridge St, Tahlequah, OK 74464-5644 | 2020-02-04 |
| 1760021984 | Damilola Mosebolatan Akintola | Counselor | 5013 Oak Manor Dr, Oklahoma City, OK 73135-2235 | 2020-01-06 |
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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.