MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA (NPI# 1922266964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922266964 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA |
| Other Organization Name | MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS OF SOUTHERN OKLAHOMA |
| Practice Address |
#2 Broadlawn Ardmore OK 73402-1722 |
| Mailing Address |
Po Box 189 Ardmore OK 73402-0189 |
| Practice Telephone | 5802234500 |
| Mailing Telephone | 5802235070 |
| Mailing Fax Number | 5802235617 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | ROBERT LEE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5802235070 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200129610 C | 05 |
| Other Name | Type Code |
|---|---|
| Mental Health and Substance Abuse Centers of Southern Oklahoma | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235394792 | Mental Health Services of Southern Oklahoma | Case Management | 93 Broadlawn Village, Ardmore, OK 73401-1722 | 2008-07-24 |
| 1144404252 | Mental Health Services of Southern Oklahoma | Clinic/Center | 91 Broadlawn, Ardmore, OK 73401 | 2007-12-26 |
| 1780867812 | Mental Health Services of Southern Oklahoma | Clinic/Center | 209 E Wilson St, Tishomingo, OK 73460-2200 | 2007-12-12 |
| 1760528970 | Mental Health Services of Southern Oklahoma | Case Management | 200 Wanda St, Marietta, OK 73448 | 2007-01-29 |
| 1710023924 | Mental Health Services of Southern Oklahoma | Clinic/Center | 93 Broadlawn, Ardmore, OK 73401-6337 | 2007-01-29 |
| 1992841100 | Mental Health Services of Southern Oklahoma | Case Management | 111 E 12th St, Ada, OK 74820-6501 | 2007-01-29 |
| 1972659910 | Mental Health Services of Southern Oklahoma | Clinic/Center | 603 S 1st St, Madill, OK 73446-3807 | 2007-01-25 |
| 1831245885 | Mental Health Services of Southern Oklahoma | Clinic/Center | 414 W Muskogee Ave, Sulphur, OK 73086-4614 | 2007-01-25 |
| 1518997097 | Mental Health Services of Southern Oklahoma | Community/Behavioral Health | 2530 S. Commerce, Building A, Ardmore, OK 73401-5519 | 2006-07-03 |
| 1073509022 | Mental Health Services of Southern Oklahoma | Case Management | 2530 S Commerce St, Building B, Ardmore, OK 73401-5519 | 2005-09-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA | 1012 14th Ave Nw, Ardmore, OK 73401-5734 |
| Street Address |
#2 BROADLAWN |
| City | ARDMORE |
| State | OK |
| Zip Code | 73402-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689832347 | Lighthouse Behavioral Wellness Centers | Community/Behavioral Health | #2 Broadlawn, Ardmore, OK 73401-1722 | 2008-05-29 |
| 1750549705 | Mental Health Services of Southern Oklahoma | Community/Behavioral Health | #2 Broadlawn, Ardmore, OK 73401-5519 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912236852 | Zona Whitewater | Case Manager/Care Coordinator | 2530 So. Commerce, Bldg. B, Ardmore, OK 73402 | 2009-12-23 |
| 1710136015 | Lynette Yvonne Spradling | Counselor | 2530 S Commerce Street, Ardmore, OK 73402 | 2008-09-11 |
| 1407952682 | Robert E. Lee | Social Worker | 2530 S. Commerce Bldg A, Ardmore, OK 73402 | 2006-09-15 |
| 1932332467 | Kathleen Mckinney | Counselor | 2530 South Commerce Street, Building A, Ardmore, OK 73402 | 2009-09-01 |
| 1215121447 | Leah Danielle Bramlett | Counselor | 2530 S. Commerce, Bldg. B, Ardmore, OK 73402 | 2007-08-30 |
| 1518169606 | Deana Marie Tharp | Counselor | 2530 S. Commerce St., Ardmore, OK 73402-0189 | 2007-06-01 |
| 1316188527 | Syndy Fay Redmon | Counselor | 2530 South Commerce, Ardmore, OK 73402-0189 | 2009-03-18 |
| 1053465047 | Oklahoma Association for Retarded Citizens Carter County | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 108 3rd Avenue South West, Ardmore, OK 73402-1944 | 2007-01-23 |
| 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 |
|---|---|---|---|---|
| 1356879928 | Melissa Hammel Consulting | Community/Behavioral Health | 30267 Highland Dr, Ardmore, TN 38449-3216 | 2017-05-26 |
| 1366832800 | Alicia Chastain | Community/Behavioral Health | 1301 7th Ave Nw, Ardmore, OK 73401-2469 | 2015-02-04 |
| 1346665288 | Johnny D Green Mshr, Lpc,pc | Community/Behavioral Health | 597 Colt Ln, Ardmore, OK 73401-9138 | 2014-03-01 |
| 1992141501 | Shawnda Shana Mawell | Community/Behavioral Health | 1215 11th Ave Ne, Ardmore, OK 73401-7019 | 2013-05-22 |
| 1225378623 | Lighthouse Behavioral Wellness Centers | Community/Behavioral Health | 1219 K St Nw, Ste. #2, Ardmore, OK 73401-1801 | 2013-02-21 |
| 1790042117 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 34 N Washington St, Ardmore, OK 73401-7013 | 2012-04-23 |
| 1346575883 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 115 W Broadway St Ste 401, Ardmore, OK 73401-6210 | 2009-10-15 |
| 1831424787 | Kk Ounseling, Inc. | Community/Behavioral Health | 74 Overland Route St, Ardmore, OK 73401-2916 | 2009-10-10 |
| 1508052713 | New Restoration Counseling Center | Community/Behavioral Health | 115 W Main St Ste 406, Ardmore, OK 73401-6413 | 2007-09-20 |
| 1841498078 | Family Shelter of Southern Oklahoma for Victims of Domestic Violence | Community/Behavioral Health | 116 C St Sw, Ardmore, OK 73401-6304 | 2007-07-10 |
| Find all providers in ARDMORE | ||||
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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.