GARRY IAN DRAKE (NPI# 1952797060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952797060 |
| Entity Type | Individual |
| Full Name | GARRY IAN DRAKE |
| Practice Address |
1209 S Main St Stillwater OK 74074-5846 |
| Mailing Address |
Po Box 1718 Stillwater OK 74076-1718 |
| Practice Telephone | 4055643408 |
| Practice Fax Number | 8442702039 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 4885 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1209 S MAIN ST |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396397196 | Victor R Gonzalez Jr. | Behavior Technician | 1209 S Main St, Stillwater, OK 74074-5846 | 2019-07-11 |
| 1770149460 | Jordan Lathan Day Bell | Behavior Technician | 1209 S Main St, Stillwater, OK 74074-5846 | 2019-05-17 |
| 1750845046 | Austin Borges | Behavior Technician | 1209 S Main St, Stillwater, OK 74074-5846 | 2019-01-30 |
| 1710455662 | Juan Perez | Counselor | 1209 S Main St, Stillwater, OK 74074-5846 | 2018-11-08 |
| 1821572413 | Nigel Aaron D'souza | Counselor | 1209 S Main St, Stillwater, OK 74074-5846 | 2018-09-19 |
| 1760975999 | Counseling and Behavioral Specialists of Oklahoma | Clinic/Center | 1209 S Main St, Stillwater, OK 74074-5846 | 2018-06-12 |
| 1306200977 | Christopher Jayne | Counselor | 1209 S Main St, Stillwater, OK 74074-5846 | 2016-04-11 |
| 1750744207 | Laura Windom | Counselor | 1209 S Main St, Stillwater, OK 74074-5846 | 2016-04-01 |
| 1841662996 | Alex Rivera | Counselor | 1209 S Main St, Stillwater, OK 74074-5846 | 2015-10-28 |
| 1003286634 | Connecting The Pieces LLC | Community/Behavioral Health | 1209 S Main St, Stillwater, OK 74074-5846 | 2015-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734555 | Victoria Dotter | Counselor | 1912 Eastern Ave, Stillwater, OK 74074-6232 | 2020-03-04 |
| 1679039937 | Kensie Lyon | Counselor | 1005 S Mcdonald St, Stillwater, OK 74074-5220 | 2019-02-12 |
| 1801376587 | Equilibriya, LLC | Counselor | 105 New England Pl Ste 150, Stillwater, MN 55082-2036 | 2018-08-21 |
| 1023511508 | Leslie Erin Shuck | Counselor | 2325 W 7th Pl, Stillwater, OK 74074-1902 | 2018-03-12 |
| 1528591575 | Susan Clark | Counselor | 604 S Walnut, Stillwater, OK 74074-4222 | 2017-04-06 |
| 1376915967 | Kalin Tinnin | Counselor | 4599 N Washington St, Stillwater, OK 74075-1278 | 2015-10-22 |
| 1881061885 | Tayler Hall | Counselor | 121 S Duck St, Ste. 1, Stillwater, OK 74074-3292 | 2015-08-25 |
| 1851708721 | Jennifer Sobel | Counselor | 1621 S Surrey Dr, Stillwater, OK 74074-1851 | 2014-07-12 |
| 1972928505 | Megan Best | Counselor | 920 S Murphy St Apt 12301, Stillwater, OK 74074-1767 | 2014-02-18 |
| 1457604720 | Evelyn Creggett | Counselor | 1200 N Perkins Rd, Apt M1, Stillwater, OK 74075-7104 | 2012-10-23 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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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.