THE GRIFFIN PROMISE (NPI# 1881108975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881108975 |
| Entity Type | Organization |
| Organization Name | THE GRIFFIN PROMISE |
| Practice Address |
2552 E Kenosha St Broken Arrow OK 74014-6712 |
| Practice Telephone | 9188933735 |
| Practice Fax Number | 9188933745 |
| Mailing Telephone | 9188933735 |
| Mailing Fax Number | 9188933745 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Authorized Official Name | LORI FREDERICK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9188933735 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1239 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083037956 | The Griffin Promise | Counselor | 2552 E Kenosha St, Broken Arrow, OK 74014-6712 | 2014-01-29 |
| Street Address |
2552 E KENOSHA ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74014-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083037956 | The Griffin Promise | Counselor | 2552 E Kenosha St, Broken Arrow, OK 74014-6712 | 2014-01-29 |
| 1528678638 | Krista Nissen | Speech-Language Pathologist | 2552 E Kenosha St, Broken Arrow, OK 74014-6712 | 2020-08-04 |
| 1891334355 | Caitlin Day | Occupational Therapy Assistant | 2552 E Kenosha St, Broken Arrow, OK 74014-6712 | 2020-01-02 |
| 1528620275 | Sara Wilcox | Speech-Language Pathologist | 2552 E Kenosha St, Broken Arrow, OK 74014-6712 | 2019-07-02 |
| 1710492616 | Elizabeth Fielder | Speech-Language Pathologist | 2552 E Kenosha St, Broken Arrow, OK 74014-6712 | 2017-12-13 |
| 1700305976 | Lindsay Brooke Roman | Speech-Language Pathologist | 2552 E Kenosha St, Broken Arrow, OK 74014-6712 | 2017-09-19 |
| 1962863977 | Mina Mcclure | Speech-Language Pathologist | 2552 E Kenosha St, Broken Arrow, OK 74014 | 2016-03-18 |
| 1851785190 | Torrie Moreton | Speech-Language Pathologist | 2552 E Kenosha St, Broken Arrow, OK 74014-6712 | 2015-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
| 1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
| 1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
| 1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
| 1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
| 1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
| 1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
| 1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
| 1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
| Find all providers in zip 74014 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658321 | Individual and Family Matters LLC. | Counselor | 20216 E 43rd Pl S, Broken Arrow, OK 74014-1595 | 2020-04-20 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1467010074 | Candice Collins | Counselor | 6501 S Garnett Rd, Broken Arrow, OK 74012-8529 | 2019-05-30 |
| 1215492400 | Amanda Jeanne Lee | Counselor | 29815 E 36th St S, Broken Arrow, OK 74014-8325 | 2019-02-01 |
| 1417496027 | Angela Moore | Counselor | 905 S 30th St, Broken Arrow, OK 74014-2848 | 2017-02-15 |
| 1841744356 | Dianna Lynn Schrimsher | Counselor | 410 N Palm Ct, Broken Arrow, OK 74012-2175 | 2016-08-12 |
| 1902266059 | Gamaliel Mananga | Counselor | 314 S Sycamore Pl, Broken Arrow, OK 74012-8367 | 2016-03-02 |
| 1659742997 | Amanda Hall | Counselor | 9545 Clearview Dr, Broken Arrow, OK 74014-3269 | 2015-10-13 |
| 1699190298 | Jennifer Johnson | Counselor | 2612 W Decatur St, Broken Arrow, OK 74011-6123 | 2014-02-19 |
| 1982033692 | Chris Jones | Counselor | 21560 E 161st St S, Broken Arrow, OK 74014-6446 | 2013-11-03 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74014 |
Please comment or provide details below to improve the information on THE GRIFFIN PROMISE.
| 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.