LAURA JADE MILLERMON (NPI# 1811407968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811407968 |
| Entity Type | Individual |
| Full Name | LAURA JADE MILLERMON |
| Practice Address |
2617 General Pershing Blvd Oklahoma City OK 73107-6437 |
| Mailing Address |
Po Box 12978 Oklahoma City OK 73157-2978 |
| Practice Telephone | 4058581700 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2617 GENERAL PERSHING BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73107-6437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245479 | Ahsan Y Khan | Psychiatry & Neurology | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2005-06-16 |
| 1801402334 | Karli Nicole Smith | Counselor | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-09-21 |
| 1306459193 | Kristen Dunham | Counselor | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-31 |
| 1043823206 | Cammie Lorraine Soriano | Case Manager/Care Coordinator | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-27 |
| 1386257673 | Abigail Kirsten Williams | Case Manager/Care Coordinator | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-26 |
| 1962014258 | Brandi Shearer | Counselor | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-19 |
| 1114538477 | Iridia Chavez Mares | Peer Specialist | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-11 |
| 1457961542 | Tiffany Jeanette Lefebvre | Peer Specialist | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-04 |
| 1790393262 | Amy Pavelka | Case Manager/Care Coordinator | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-07-21 |
| 1386262632 | Riley Jordan Copeland | Counselor | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747999 | Ellen Rose Pochyly | Counselor | 2617 General Pershing Boulevard, Oklahoma City, OK 73107 | 2017-08-23 |
| 1609399906 | Carrie Ann Moore | Counselor | 2617 General Pershing Blvd., Oklahoma City, OK 73107 | 2017-07-19 |
| 1821511320 | Diana Lynn Spencer | Counselor | 2617generalpershingblvd, Oklahoma City, OK 73107 | 2017-07-18 |
| 1861859514 | Catherine Evans | Counselor | 500 N Meridian Ave Ste 409, Oklahoma City, OK 73107 | 2016-01-26 |
| 1871964551 | Kizzy Frazier | Student in an Organized Health Care Education/Training Program | 1233 N Warren Pl, Oklahoma City, OK 73107 | 2015-10-07 |
| 1538550629 | Oklahoma Department of Mental Health and Substance Abuse | Case Management | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-02-10 |
| 1952702276 | Andale Healthcare, LLC | Clinic/Center | 2305 N. Meridian, Oklahoma City, OK 73107 | 2014-09-05 |
| 1114339348 | John Walls | Psychologist | 2012 North Villa Avenue, Oklahoma City, OK 73107 | 2014-05-22 |
| 1376970517 | Latrice Warrior | Community/Behavioral Health | 2625 General Pershing Drive, Oklahoma City, OK 73107 | 2013-10-02 |
| 1326485541 | Debra Sue Vaughan | Counselor | 2617 Genral Pershing Blvd, Oklahoma City, OK 73107 | 2013-05-29 |
| Find all providers in zip 73107 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039517 | Tommy Craig Smith | Counselor | 3601 N Classen Blvd Ste 102, Oklahoma City, OK 73118-3231 | 2020-09-29 |
| 1215563077 | Beginning Steps | Counselor | 2709 S Magerus St, Oklahoma City, OK 73128-3215 | 2020-03-12 |
| 1932734431 | Debra Lynn Spears | Counselor | 4605 W Nicklas Ave Apt B, Oklahoma City, OK 73132-6913 | 2020-03-05 |
| 1659905024 | Ramona Martinez | Counselor | 2120 Sw 41st St, Oklahoma City, OK 73119-3614 | 2020-02-25 |
| 1699307058 | Caitlin Cox | Counselor | 4341 Will Rogers Pkwy, Oklahoma City, OK 73108-1817 | 2020-02-04 |
| 1760020283 | Casey Erin Marsh-shaevitz | Counselor | 1705 S Morgan Rd, Oklahoma City, OK 73128-7005 | 2019-12-16 |
| 1255982229 | Kelli P Roland | Counselor | 1808 Ne 11th St, Oklahoma City, OK 73117-3606 | 2019-09-21 |
| 1609423979 | Shelia Macon | Counselor | 3309 Ne 18th St, Oklahoma City, OK 73121-2881 | 2019-08-21 |
| 1184285470 | Andrea Elura Clayton | Counselor | 12405 Arrowhead Way, Oklahoma City, OK 73120-8101 | 2019-06-26 |
| 1578026779 | Jacquelyn Danielle Schoppa | Counselor | 7005 N Ann Arbor Ter, Oklahoma City, OK 73132-5915 | 2019-04-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73107 |
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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.