JIM TALIAFERRO CMHC (NPI# 1972648004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972648004 |
| Entity Type | Organization |
| Organization Name | JIM TALIAFERRO CMHC |
| Practice Address |
411 Fowler Dr Duncan OK 73533-2336 |
| Practice Telephone | 5802485780 |
| Practice Fax Number | 5803533202 |
| Mailing Telephone | 5802485780 |
| Mailing Fax Number | 5803533202 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2011-06-16 |
| Authorized Official Name | MRS. BRENDA OTOTIVO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5802485780 |
| Authorized Official Credential | LBP, LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0005111 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100706940J | 05 | |
| OK | 100706940C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932569001 | Jim Taliaferro Cmhc | Community/Behavioral Health | 327 Sw C Ave, Lawton, OK 73501-4016 | 2016-03-02 |
| 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 |
411 FOWLER DR |
| City | DUNCAN |
| State | OK |
| Zip Code | 73533-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730723362 | Stefanie Alexis Dubicki | Physician Assistant | 1120 Us-81 N, Duncan, OK 73533 | 2019-11-06 |
| 1568935898 | Grace Elizabeth Peters | Physician Assistant | 1120 Us 81, Duncan, OK 73533 | 2019-01-09 |
| 1427406487 | Joseph Suarez | Behavioral Analyst | 23 N 8th, Duncan, OK 73533 | 2016-06-01 |
| 1386086148 | Andrea R Daughtrey | Behavioral Analyst | 209 S 21 St, Duncan, OK 73533 | 2013-07-22 |
| 1578830873 | Carlton D. Mitchell II | Social Worker | 1919 Elk, Duncan, OK 73533 | 2011-11-30 |
| 1336460468 | Dawn Price | Counselor | 7 1/2 N. 8th St, Duncan, OK 73533 | 2010-06-11 |
| 1740416395 | Sanford Clinic | Pediatrics | 2502 W. Elk Ave., Duncan, OK 73533 | 2009-06-09 |
| 1972788222 | Thelma Joann Dillard | Dentist | 1415 W Main Street, Duncan, OK 73533 | 2008-01-07 |
| 1659560548 | Julia Gayle Case | Nurse Practitioner | 2004 North Hwy 81, Duncan, OK 73533 | 2007-10-17 |
| 1407060395 | Cynthia Annette Browning | Speech-Language Pathologist | 1400 Whisenant, Duncan, OK 73533 | 2007-05-09 |
| Find all providers in zip 73533 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395491 | Millennium Community Services, LLC | Clinic/Center | 23 N 8th St, Duncan, OK 73533-4601 | 2020-04-21 |
| 1972639714 | Alternative Opportunities Inc. | Clinic/Center | 1105 W Main St, Suite #1, Duncan, OK 73533-4563 | 2007-02-26 |
| 1861528168 | Alternative Opportunities Inc | Clinic/Center | 1105 W Main St, Suite #1, Duncan, OK 73533-4563 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
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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.