TENKILLER BEHAVIORAL HEALTH INC (NPI# 1003988726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003988726 |
| Entity Type | Organization |
| Organization Name | TENKILLER BEHAVIORAL HEALTH INC |
| Practice Address |
201 Main Street Watts OK 74964-0332 |
| Mailing Address |
27753 S Welling Rd Welling OK 74471-2202 |
| Practice Telephone | 9184224888 |
| Practice Fax Number | 9184225779 |
| Mailing Telephone | 9184574999 |
| Mailing Fax Number | 9184574104 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KRISTA PETERSON (LPC CO ADMINISTRATOR) |
| Authorized Official Telephone | 9184224888 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OK | Ambulatory Health Care Facilities |
| Street Address |
201 MAIN STREET |
| City | WATTS |
| State | OK |
| Zip Code | 74964-0332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992043707 | Destinie Wiltshire | Counselor | 201 Main Street, Watts, OK 74964 | 2013-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750629838 | Daniel Eric Bennett | Rehabilitation Practitioner | 202 S. Main St, Watts, OK 74964 | 2013-01-23 |
| 1649556283 | Patricia Rich | Case Manager/Care Coordinator | 3rd Cemetary Rd, Watts, OK 74964 | 2011-10-27 |
| 1538532007 | Jeran Price | Counselor | 202 Main St, Watts, OK 74964 | 2015-11-05 |
| 1689950214 | Joyce Metzger | Case Manager/Care Coordinator | 3rd Cemetary Rd, Watts, OK 74964 | 2011-10-27 |
| 1992023311 | Samantha Cox | Case Manager/Care Coordinator | 202 S Main St., Watts, OK 74964-0332 | 2010-05-10 |
| 1417232919 | Dixie E. Hinkley | Registered Nurse | 202 S. Main St, Watts, OK 74964-0332 | 2011-10-15 |
| 1841585585 | Christopher Darrel Stilwell | Case Manager/Care Coordinator | 202 South Main Street, Watts, OK 74964-0332 | 2011-06-10 |
| 1225356660 | Charles Vernon Rickey | Case Manager/Care Coordinator | 202 S. Main St., Watts, OK 74964-0332 | 2010-05-10 |
| 1164740593 | Jonathon Collin Carter | Case Manager/Care Coordinator | 202 S. Main St., Watts, OK 74964-0332 | 2010-05-10 |
| 1346869831 | Brendon D Sexton | Peer Specialist | 61104 S 4647 Rd, Watts, OK 74964-1189 | 2020-04-14 |
| Find all providers in zip 74964 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on TENKILLER BEHAVIORAL HEALTH INC.
| 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.