CREOKS BEHAVIORAL HEALTH SERVICES (NPI# 1841479110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841479110 |
| Entity Type | Organization |
| Organization Name | CREOKS BEHAVIORAL HEALTH SERVICES |
| Practice Address |
209 W Broadway St Okemah OK 74859-2618 |
| Mailing Address |
209 W Broadway St P.o Box 149 Okemah OK 74859-2618 |
| Practice Telephone | 9186232922 |
| Practice Fax Number | 9186239316 |
| Mailing Telephone | 9186232922 |
| Mailing Fax Number | 9186239316 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. ALFREDA M MOORE (BHRS) |
| Authorized Official Telephone | 9186232922 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194152843 | Creoks Behavioral Health Services | Case Management | 608 S Wilson Ave, Okmulgee, OK 74447-6139 | 2013-09-26 |
| 1619312188 | Creoks Behavioral Health Services | Community/Behavioral Health | 1059 E 60th St, # 222, Tulsa, OK 74105-8331 | 2013-05-09 |
| 1427311687 | Creoks Behavioral Health Services | Community/Behavioral Health | 426 W Los Angeles Pl, Broken Arrow, OK 74011-4835 | 2012-06-21 |
| 1487867263 | Creoks Behavioral Health Services | Community/Behavioral Health | 2455 N Boston Pl, Tulsa, OK 74106-3610 | 2007-05-08 |
| 1447812029 | Creoks Behavioral Health Services | Clinic/Center | 1500 N 6th St, Ponca City, OK 74601-2827 | 2019-07-03 |
| 1558815936 | Creoks Behavioral Health Services | Case Management | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2016-08-15 |
| 1912327107 | Creoks Behavioral Health Services | Case Management | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2014-04-26 |
| 1609164490 | Creoks Behavioral Health Services | Community/Behavioral Health | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2011-07-14 |
| 1821257940 | Creoks Behavioral Health Services | Case Management | 209 W Broadway St, Okemah, OK 74859-2618 | 2008-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CREOKS BEHAVIORAL HEALTH SERVICES | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 |
| Street Address |
209 W BROADWAY ST |
| City | OKEMAH |
| State | OK |
| Zip Code | 74859-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790802312 | Terri Minor | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2007-03-26 |
| 1194332957 | Rebecca Klutts | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2020-09-25 |
| 1164057832 | Lisha Joy Worley | Case Manager/Care Coordinator | 209 W Broadway St, Okemah, OK 74859-2618 | 2020-03-03 |
| 1093349144 | Alta Christine Hayes-seamon | Peer Specialist | 209 W Broadway St, Okemah, OK 74859-2618 | 2020-02-27 |
| 1386284818 | Monica Aaron Lewis | Case Manager/Care Coordinator | 209 W Broadway St, Okemah, OK 74859-2618 | 2020-01-13 |
| 1508418302 | Jamie Lee Sigman | Case Manager/Care Coordinator | 209 W Broadway St, Okemah, OK 74859-2618 | 2019-07-11 |
| 1538724448 | Cassidy Zimmerman | Case Manager/Care Coordinator | 209 W Broadway St, Okemah, OK 74859-2618 | 2019-05-06 |
| 1245790732 | Jamie Kaye Rhodes | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2019-03-21 |
| 1255805552 | Nicole Minton Boyd | Case Manager/Care Coordinator | 209 W Broadway St, Okemah, OK 74859-2618 | 2019-01-20 |
| 1003386863 | Scarlet Ann Figueroa | Case Manager/Care Coordinator | 209 W Broadway St, Okemah, OK 74859-2618 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932321940 | Michelle Renee Scott | Social Worker | 209 West Broadway, Okemah, OK 74859 | 2007-05-02 |
| 1790905552 | Deirdre Ann Rieman | Speech-Language Pathologist | 600 Frontage Rd, Okemah, OK 74859 | 2007-04-26 |
| 1528281060 | Creoks Mental Health | Case Management | 209 W. Broadway, Okemah, OK 74859 | 2007-04-11 |
| 1588748776 | Brett Alan Wessel | Chiropractor | 1003 W Broadway, Okemah, OK 74859 | 2006-10-24 |
| 1982796173 | James L. Lambert | Optometrist | 309 North 14th, Okemah, OK 74859 | 2006-09-28 |
| 1700890530 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1800 E Coplin St, Okemah, OK 74859 | 2006-07-28 |
| 1184664898 | Peak Medical Oklahoma No. 13, Inc. | Skilled Nursing Facility | 600 West Frontage Rd, Okemah, OK 74859 | 2006-06-08 |
| 1366593923 | Creek Nation Hospital & Clinics | Clinic/Center | 1800 E Coplin St, Okemah, OK 74859 | 2007-01-12 |
| 1003990185 | Okemah Chiropractic Clinic Inc PC | Chiropractor | 1003 W Broadway, Okemah, OK 74859 | 2006-10-25 |
| 1821269168 | Creek Nation Hospital & Clinics | Medicare Defined Swing Bed Unit | 309 North 14th Street, Okemah, OK 74859-2028 | 2008-03-14 |
| Find all providers in zip 74859 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093018558 | Tracy Leigh Baker | Counselor | Rr 4 Box 38, Okemah, OK 74859-9302 | 2010-12-06 |
| 1134421431 | Donald Lee Thomas | Counselor | 809 W Broadway St, Okemah, OK 74859-2213 | 2010-11-19 |
| 1790802312 | Terri Minor | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2007-03-26 |
| 1245790732 | Jamie Kaye Rhodes | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2019-03-21 |
| 1487149597 | Lindsey Lee Griffin | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2018-06-30 |
| 1609115096 | Tiffany D Bradshaw | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2013-02-05 |
| 1770895112 | Holly R Chandler | Counselor | 120 S 4th St, Okemah, OK 74859-3802 | 2010-07-13 |
| 1275865792 | Darlene Copeland | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2010-02-09 |
| 1477886604 | Judi K Unterkircher | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2009-09-04 |
| 1578726444 | Wanda Sue Manos | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2008-07-09 |
| Find all providers in OKEMAH | ||||
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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.