MS. MELISSA JANE PATTERSON-BOLLES (NPI# 1821456302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821456302 |
| Entity Type | Individual |
| Full Name | MS. MELISSA JANE PATTERSON-BOLLES |
| Other Name | MRS. MELISSA JANE PATTERSON-BOLLES |
| Credential | M.ED, LPC |
| Practice Address |
2310 W Broadway St Muskogee OK 74401 |
| Mailing Address |
2310 W Broadway St Muskogee OK 74401-2761 |
| Practice Telephone | 9189134464 |
| Mailing Telephone | 9189134464 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1805 N York St Ste G, Muskogee, OK 744031442 | 9186829292 |
| Street Address |
2310 W BROADWAY ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801014550 | Monarch, Inc | Substance Abuse Rehabilitation Facility | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2007-04-20 |
| 1396266185 | Reagan L Thompson | Counselor | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2017-06-30 |
| 1255749917 | Monarch, Inc | Substance Abuse Rehabilitation Facility | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2014-07-25 |
| 1104163559 | Michelle Lynn Rogers | Counselor | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2013-01-04 |
| 1043526874 | Jamielle Lavon Reed | Counselor | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2010-08-31 |
| 1528385119 | Vera L Dowling | Counselor | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2010-04-22 |
| 1316262629 | Laura Vaezey Roets | Counselor | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2010-03-30 |
| 1720221526 | Lakisha Renee Beverly-reed | Counselor | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2009-04-09 |
| 1760638928 | Monarch,inc | Substance Abuse Rehabilitation Facility | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2008-08-07 |
| 1326294554 | Monarch, Inc | Substance Abuse Rehabilitation Facility | 2310 W Broadway St, Muskogee, OK 74401-2761 | 2008-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| 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 |
|---|---|---|---|---|
| 1912531252 | Lori Jefferson | Counselor | 207 S 11th St, Muskogee, OK 74401-6818 | 2020-02-25 |
| 1023538410 | Robyn Dunaway | Counselor | 1423 E Okmulgee St, Muskogee, OK 74403-5645 | 2017-06-26 |
| 1366978835 | Logan Ray Stinson | Counselor | 6220 W Shawnee St, Muskogee, OK 74401-1028 | 2017-05-03 |
| 1952768442 | Angel Morgan | Counselor | 423 W Broadway St, Muskogee, OK 74401-6614 | 2016-01-28 |
| 1063854677 | Cathy Evans Griffin | Counselor | 311 Douglas St, Muskogee, OK 74401-4114 | 2013-07-24 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1912264144 | Rachella Fennell | Counselor | 931 S 2nd St, Muskogee, OK 74401-7813 | 2012-04-12 |
| 1255629077 | Winona Lee Scott | Counselor | 3610 1/2 W Lindsey St, Muskogee, OK 74401-1881 | 2011-07-13 |
| 1407490568 | Endacia Lyday | Counselor | 433 W Broadway St, Muskogee, OK 74401-6614 | 2019-11-01 |
| 1174096960 | Andre English | Counselor | 814 W Okmulgee St, Muskogee, OK 74401-6839 | 2019-01-04 |
| Find all providers in MUSKOGEE | ||||
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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.