ODMHSAS (NPI# 1881997799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881997799 |
| Entity Type | Organization |
| Organization Name | ODMHSAS |
| Practice Address |
1200 Ne 13th St Oklahoma City OK 73117-1022 |
| Practice Telephone | 4055220080 |
| Practice Fax Number | 4055223767 |
| Mailing Telephone | 4055220080 |
| Mailing Fax Number | 4055223767 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |
| Authorized Official Name | MRS. KELLI RAYLYNN REID (DIRECTOR, FIELD SERVICES) |
| Authorized Official Telephone | 4055220080 |
| Authorized Official Credential | LADC, CBHCM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 581 | OK | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386983104 | Odmhsas | Psychiatric Hospital | 9803 Welch Dr, Oklahoma City, OK 73139-2814 | 2013-02-14 |
| 1942678388 | Odmhsas | Community/Behavioral Health | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2015-09-02 |
| Street Address |
1200 NE 13TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73117-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659322527 | Peggy Louise Jewell | Psychiatry & Neurology | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2006-05-15 |
| 1881206142 | Rozella Marie Murray | Technician, Other | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2020-08-18 |
| 1821619834 | Amanda Kay Holer | Peer Specialist | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2020-04-30 |
| 1104301563 | Christie Eve Horn | Case Manager/Care Coordinator | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2018-10-01 |
| 1639658032 | Ophelia Lorene Viezcas | Peer Specialist | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2018-08-07 |
| 1245725738 | Shannon D Clymer | Peer Specialist | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2018-06-27 |
| 1457886871 | Taft Jackson II | Behavior Technician | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2017-04-23 |
| 1154854743 | Limbusha Fields | Behavior Technician | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2017-04-10 |
| 1104378819 | Canyon Merrill | Peer Specialist | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2016-10-28 |
| 1871963884 | Sharryc Smith | Counselor | 1200 Ne 13th St, Oklahoma City, OK 73117-1022 | 2015-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
| 1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
| 1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
| 1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
| 1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
| 1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
| 1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
| 1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
| 1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
| 1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
| Find all providers in zip 73117 | ||||
| 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 |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1679122287 | New Therapeutic Environment LLC | Community/Behavioral Health | 4301 Nw 63rd St Ste 307, Oklahoma City, OK 73116-1504 | 2019-09-06 |
| 1447808944 | Noahs Ark Aba and Autism Services | Community/Behavioral Health | 14413 S Robinson Ave, Oklahoma City, OK 73170-7233 | 2019-08-28 |
| 1477011195 | Perceptive Counseling Pllc | Community/Behavioral Health | Perceptive Counseling Pllc, 6900 N Classen Blvd, Oklahoma City, OK 73116-7210 | 2019-03-12 |
| 1225594542 | Life Solutions Counseling Agency LLC | Community/Behavioral Health | 6003 N Robinson Ave Ste 102, Oklahoma City, OK 73118-7425 | 2019-02-11 |
| 1083182299 | North Oklahoma County Mental Health Center | Community/Behavioral Health | 4021 S Walker Ave, Oklahoma City, OK 73109-6972 | 2018-11-06 |
| 1649754946 | Kidventures, LLC | Community/Behavioral Health | 1601 Sw 89th St Ste B100, Oklahoma City, OK 73159-6357 | 2018-09-21 |
| 1245710136 | Nexus Solutions for Autism of Oklahoma LLC | Community/Behavioral Health | 405 Nw 30th St, Oklahoma City, OK 73118-8606 | 2018-08-20 |
| 1255854725 | Mission Treatment Centers, Inc. | Community/Behavioral Health | 948 W Hefner Rd, Oklahoma City, OK 73114-6927 | 2017-07-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73117 |
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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.