JIM TALIAFERRO CMHC (NPI# 1932569001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932569001 |
| Entity Type | Organization |
| Organization Name | JIM TALIAFERRO CMHC |
| Practice Address |
327 Sw C Ave Lawton OK 73501-4016 |
| Practice Telephone | 5803550072 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | RANDY HONEYCUTT (COORDINATOR) |
| Authorized Official Telephone | 5803550072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972648004 | Jim Taliaferro Cmhc | Community/Behavioral Health | 411 Fowler Dr, Duncan, OK 73533-2336 | 2007-02-20 |
| 1285779314 | Jim Taliaferro Cmhc | Community/Behavioral Health | 110 Se 2nd Street, Anadarko, OK 73005-3416 | 2007-02-20 |
| 1588708614 | Jim Taliaferro Cmhc | Community/Behavioral Health | 118 S. Main Street, Altus, OK 73521-3128 | 2007-02-20 |
| Street Address |
327 SW C AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528614948 | Melissa Frost | Marriage & Family Therapist | 327 Sw C Ave, Lawton, OK 73501 | 2019-08-12 |
| 1740844406 | April Starr | Case Manager/Care Coordinator | 327 Sw C Ave, Lawton, OK 73501-4016 | 2019-04-29 |
| 1023598364 | Matthias Cross | Peer Specialist | 327 Sw C Ave, Lawton, OK 73501-4016 | 2018-08-16 |
| 1295271146 | Kimberly Blaisdell | Case Manager/Care Coordinator | 327 Sw C Ave, Lawton, OK 73501-4016 | 2017-01-17 |
| 1669927869 | Ebone Kirven | Case Manager/Care Coordinator | 327 Sw C Ave, Lawton, OK 73501-4016 | 2016-08-18 |
| 1154875748 | Jesse Carr | Registered Nurse | 327 Sw C Ave, Lawton, OK 73501-4016 | 2016-08-11 |
| 1194279836 | Crystal Houston | Case Manager/Care Coordinator | 327 Sw C Ave, Lawton, OK 73501-4016 | 2016-08-11 |
| 1568812188 | David Gabriele | Case Manager/Care Coordinator | 327 Sw C Ave, Lawton, OK 73501-4016 | 2016-06-14 |
| 1659728830 | Heather Mccready | Peer Specialist | 327 Sw C Ave, Lawton, OK 73501-4016 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| 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 |
|---|---|---|---|---|
| 1699310276 | Creoks Mental Health Services | Community/Behavioral Health | 4704 Nw Motif Manor Blvd Ste 4, Lawton, OK 73505-4800 | 2019-11-07 |
| 1992263776 | Abundant Life Counseling Services | Community/Behavioral Health | 1105 Sw F Ave, Lawton, OK 73501-4720 | 2019-03-11 |
| 1427546514 | Internal Connections Pllc | Community/Behavioral Health | 1303 W. Gore Blve, Suite 6, Lawton, OK 73501-3666 | 2018-04-25 |
| 1720517246 | Community Strong Counseling LLC | Community/Behavioral Health | 1303 W Gore Blvd Ste 3, Lawton, OK 73501-3666 | 2017-06-08 |
| 1174914287 | Creative Life Counseling Services | Community/Behavioral Health | 502 North Sheridan, Suite 4, Lawton, OK 73505 | 2015-02-11 |
| 1750709903 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 1309 Sw Washington Ave, Lawton, OK 73501-7231 | 2014-04-04 |
| 1699117796 | Cordaris Onassis Butler | Community/Behavioral Health | 2800 West Gore Blvd, Lawton, OK 73505 | 2013-07-18 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1619255908 | Eva Jane Fournier | Community/Behavioral Health | 1810 Nw Bell Ave, Lawton, OK 73507-6315 | 2011-08-03 |
| 1861636029 | Life Management Counseling & Consulting | Community/Behavioral Health | 621 Sw D Ave, Lawton, OK 73501-4507 | 2009-04-30 |
| Find all providers in LAWTON | ||||
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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.