CHILDRENS' RECOVERY CENTER OF OKLAHOMA (NPI# 1881716900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881716900 |
| Entity Type | Organization |
| Organization Name | CHILDRENS' RECOVERY CENTER OF OKLAHOMA |
| Other Organization Name | CHILDRENS RECOVERY CENTER - CBSEC |
| Practice Address |
320 12th Ave Ne Norman OK 73071-5238 |
| Mailing Address |
Po Box 151 Attn: Gmh Finance Norman OK 73070-0151 |
| Practice Telephone | 4055733811 |
| Practice Fax Number | 4055733960 |
| Mailing Telephone | 4055733811 |
| Mailing Fax Number | 4055733960 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | MRS. TERESA O CAPPS (EXECUTIVE DIRECTOR (INTERIM)) |
| Authorized Official Telephone | 4055733811 |
| Authorized Official Credential | MED LPC CM |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDRENS' RECOVERY CENTER OF OKLAHOMA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100688950B | 05 |
| Other Name | Type Code |
|---|---|
| Childrens Recovery Center - CBSEC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437321882 | Childrens' Recovery Center of Oklahoma | Clinic/Center | 320 12th Ave Ne, Norman, OK 73071-5238 | 2008-03-26 |
| 1770674756 | Childrens' Recovery Center of Oklahoma | Clinic/Center | 320 12th Ave Ne, Norman, OK 73071-5238 | 2006-09-27 |
| Street Address |
320 12TH AVE NE |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952379208 | Lauri J Kearns | Psychiatry & Neurology | 320 12th Ave Ne, Norman, OK 73071-5238 | 2006-03-12 |
| 1124637400 | Ti'anca Mock | Case Manager/Care Coordinator | 320 12th Ave Ne, Norman, OK 73071-5238 | 2020-07-23 |
| 1124640180 | Alexsandra Lynn Porter | Counselor | 320 12th Ave Ne, Norman, OK 73071-5238 | 2020-05-13 |
| 1558884692 | Jennifer L Robertson | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2017-07-20 |
| 1780077529 | Cindy Hanska | Counselor | 320 12th Ave Ne, Norman, OK 73071-5238 | 2015-03-17 |
| 1942540398 | Jacob Russell | Specialist/Technologist, Other | 320 12th Ave Ne, Norman, OK 73071-5238 | 2013-02-21 |
| 1609125293 | Jeffery Clint Mackey | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2012-08-29 |
| 1942597612 | Leesa Marie Meadows Gunns | Case Manager/Care Coordinator | 320 12th Ave Ne, Norman, OK 73071-5238 | 2011-07-01 |
| 1285927236 | Brenda Joy Rommann | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2011-05-24 |
| 1720397938 | Deidre T. Alexander | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2010-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922412246 | Heritage Therapeutic Services | Community/Behavioral Health | 121 Collier Dr, Suite 600, Norman, OK 73069-5273 | 2014-06-13 |
| 1225478274 | Kathleen Gazam Young | Community/Behavioral Health | 1920 Dove Hollow Ln, Norman, OK 73072-2953 | 2013-07-04 |
| 1821436064 | Oklahoma Mental Health Consulting LLC | Community/Behavioral Health | 2500 Mcgee Drive, Suite #102, Norman, OK 73072-6705 | 2013-06-10 |
| 1609116078 | Cleveland County Sheriffs Office | Community/Behavioral Health | 128 S Peters Ave, Norman, OK 73069-6034 | 2013-02-22 |
| 1629318274 | Genesi Behavorial and Health | Community/Behavioral Health | 1800 Beaumont Dr Apt 614, Norman, OK 73071-2286 | 2013-02-19 |
| 1003168634 | Maranda Greenfield, Lcsw Pllc | Community/Behavioral Health | 1809 Oakmeadows Dr, Norman, OK 73071-1254 | 2012-10-05 |
| 1740558386 | Jonathan Michael Martinez | Community/Behavioral Health | 1600 Ann Branden Blvd Apt 518, Norman, OK 73071-1538 | 2011-12-11 |
| 1407169998 | Familyties LLC | Community/Behavioral Health | 1301 Dustin Dr, Norman, OK 73071-4881 | 2010-07-26 |
| 1477888329 | William Atkins, Inc. | Community/Behavioral Health | 1620 Rolling Stone Dr, Norman, OK 73071-1431 | 2009-10-10 |
| 1811156136 | 4 Un Counseling | Community/Behavioral Health | 210 E Main St Ste 210, Norman, OK 73069-1318 | 2008-06-02 |
| Find all providers in NORMAN | ||||
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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.