MIKE NEWBERRY (NPI# 1861723041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861723041 |
| Entity Type | Individual |
| Full Name | MIKE NEWBERRY |
| Practice Address |
716 S 2nd St Stilwell OK 74960-4806 |
| Mailing Address |
205 J T Stites Blvd Sallisaw OK 74955-9301 |
| Practice Telephone | 9187757787 |
| Mailing Telephone | 9187757787 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
716 S 2ND ST |
| City | STILWELL |
| State | OK |
| Zip Code | 74960-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487710372 | People Inc. of Sequoyah Co | Clinic/Center | 716 S 2nd St, Stilwell, OK 74960-4806 | 2006-12-28 |
| 1932567153 | Kimberly Doyle | Counselor | 716 S 2nd St, Stilwell, OK 74960-4806 | 2016-02-02 |
| 1255740080 | Brandy Kristin Delhomme | Counselor | 716 S 2nd St, Stilwell, OK 74960-4806 | 2014-08-06 |
| 1295072957 | Beverly Phillips | Counselor | 716 S 2nd St, Stilwell, OK 74960-4806 | 2013-01-14 |
| 1548556863 | Stephanie Ann White | Counselor | 716 S 2nd St, Suite 101, Stilwell, OK 74960-4806 | 2011-06-24 |
| 1740430081 | Clinton Sago | Counselor | 716 S 2nd St, Suite 101, Stilwell, OK 74960-4806 | 2008-09-23 |
| 1801005749 | Rhonda Rice | Counselor | 716 S 2nd St, Suite 101, Stilwell, OK 74960-4806 | 2007-05-21 |
| 1073721940 | Julie Barnett | Counselor | 716 S 2nd St, Suite 101, Stilwell, OK 74960-4806 | 2007-05-21 |
| 1093923989 | Marsha Clinton | Counselor | 716 S 2nd St, Suite 101, Stilwell, OK 74960-4806 | 2007-05-21 |
| 1982812863 | Steve Bradford | Counselor | 716 S 2nd St, Suite 101, Stilwell, OK 74960-4806 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1356983324 | Jessica Ann Jarvis | Technician | Stilwell Public School, 520 W. Division St., Stilwell, OK 74960 | 2019-10-11 |
| 1689130593 | Georgia Delain Lowe | Licensed Practical Nurse | Route 6 Number 840, Stilwell, OK 74960 | 2019-02-15 |
| 1902321797 | Rocky Mountain School District No 24 | Local Education Agency (LEA) | Rr 1, B 665, Stilwell, OK 74960 | 2017-08-14 |
| 1912454075 | Mandi Faddis | Technician, Other | Rt 3 Box 2510, Stilwell, OK 74960 | 2016-09-07 |
| 1932566601 | Mandy Richardson | Technician | 1801 S Loucust, Stilwell, OK 74960 | 2016-01-26 |
| 1396129557 | Matthew Glenn Reece | Dentist | Hwy 51 East, Stilwell, OK 74960 | 2015-07-16 |
| 1316360654 | Diana Miller | Counselor | 110 W Maple St, Stilwell, OK 74960 | 2014-01-22 |
| 1356789838 | Sandra Marie Holmes | Speech-Language Pathologist | 100 Maryetta Road, Stilwell, OK 74960 | 2013-06-06 |
| 1306118831 | Joseph William Taylor | Counselor | Rr 1 Box 1536, Stilwell, OK 74960 | 2012-01-30 |
| Find all providers in zip 74960 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376085746 | Karen Shell | Counselor | 105 W. Division St., Stilwell, OK 74960-4806 | 2016-11-16 |
| 1316360654 | Diana Miller | Counselor | 110 W Maple St, Stilwell, OK 74960 | 2014-01-22 |
| 1306118831 | Joseph William Taylor | Counselor | Rr 1 Box 1536, Stilwell, OK 74960 | 2012-01-30 |
| 1073893343 | Chris Lynn Morton | Counselor | Rr 6 Box 1095, Stilwell, OK 74960-8708 | 2011-08-18 |
| 1558858522 | Amy Renee Gifford | Counselor | 110 W Maple St, Stilwell, OK 74960-3100 | 2018-04-16 |
| 1841734753 | Dawn Martin | Counselor | 110 W Maple St, Stilwell, OK 74960-3100 | 2016-12-12 |
| 1174070627 | Bryan Lee Maloney | Counselor | 110 W Maple St, Stilwell, OK 74960-3100 | 2016-09-01 |
| 1255740080 | Brandy Kristin Delhomme | Counselor | 716 S 2nd St, Stilwell, OK 74960-4806 | 2014-08-06 |
| 1851736128 | Julie Rogers | Counselor | 106 W Maple St, Stilwell, OK 74960-3100 | 2013-05-01 |
| 1548556863 | Stephanie Ann White | Counselor | 716 S 2nd St, Suite 101, Stilwell, OK 74960-4806 | 2011-06-24 |
| Find all providers in STILWELL | ||||
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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.