SEQUELCARE OF OKLAHOMA, LLC (NPI# 1073775854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073775854 |
| Entity Type | Organization |
| Organization Name | SEQUELCARE OF OKLAHOMA, LLC |
| Practice Address |
2816 E Jackson St Suite C Hugo OK 74743-4250 |
| Mailing Address |
Po Box 1030 Antlers OK 74523-1030 |
| Practice Telephone | 5802982830 |
| Mailing Telephone | 5802982830 |
| Mailing Fax Number | 5802986723 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2012-12-31 |
| Authorized Official Name | DOROTHY METCALF (EXEC DIR) |
| Authorized Official Telephone | 5802982830 |
| Authorized Official Credential | MSW, LCSW, LADC |
| 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 |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1518021286 | Sequelcare of Oklahoma, LLC | Clinic/Center | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-20 |
| 1740344290 | Sequelcare of Oklahoma, LLC | Clinic/Center | 411 S Central Ave, Idabel, OK 74745-6059 | 2006-12-20 |
| 1861556342 | Sequelcare of Oklahoma, LLC | Clinic/Center | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-20 |
| 1720142532 | Sequelcare of Oklahoma, LLC | Case Management | 100 N Broadway St, Broken Bow, OK 74728-3934 | 2006-12-19 |
| 1801058680 | Sequelcare of Oklahoma, LLC | Community/Behavioral Health | 103 N 3rd Ave, Durant, OK 74701-4700 | 2008-07-02 |
| 1194889261 | Sequelcare of Oklahoma, LLC | Case Management | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-21 |
| 1639233703 | Sequelcare of Oklahoma, LLC | Clinic/Center | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-21 |
| 1891859963 | Sequelcare of Oklahoma, LLC | Case Management | 411 S Central Ave, Idabel, OK 74745-6059 | 2006-12-21 |
| 1508920679 | Sequelcare of Oklahoma, LLC | Case Management | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-21 |
| Street Address |
2816 E JACKSON ST SUITE C |
| City | HUGO |
| State | OK |
| Zip Code | 74743-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417011081 | Camelot Community Services of Oklahoma, LLC | Clinic/Center | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-20 |
| 1215462247 | Courtney Wilder | Health Educator | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2017-04-27 |
| 1982943379 | Julia Ann Mason | Counselor | 2816 E Jackson St, Hugo, OK 74743-4250 | 2013-02-05 |
| 1316285430 | Olivia Jent | Counselor | 2816 E Jackson St, Hugo, OK 74743-4250 | 2013-01-24 |
| 1457674475 | Kimberly R Anderson | Psychologist | 2816 E Jackson St, Hugo, OK 74743-4250 | 2010-03-04 |
| 1497919922 | Jennifer Dyer | Psychologist | 2816 E Jackson St, Hugo, OK 74743-4250 | 2008-07-14 |
| 1801086236 | Kristianna Beddo | Counselor | 2816 E Jackson St, Hugo, OK 74743-4250 | 2007-08-01 |
| 1336358134 | Heide Grant | Counselor | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2007-05-21 |
| 1639233703 | Sequelcare of Oklahoma, LLC | Clinic/Center | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-21 |
| 1457415523 | Sequelcare of Oklahoma, LLC | Case Management | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053817775 | Emilia Sue Lopez | Registered Nurse | 2008 East 2110 Road, Hugo, OK 74743 | 2018-04-02 |
| 1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
| 1457801177 | Kelli Lemke | Nurse Practitioner | 204 E. Jackson St., Hugo, OK 74743 | 2016-10-05 |
| 1780040147 | Shabreka Dorshell Coleman | Student in an Organized Health Care Education/Training Program | 1475 North 4220 Road, Grant, OK 74743 | 2016-01-14 |
| 1063898161 | Jaclyn Deann Rouse | Optometrist | 410 North M Street, Hugo, OK 74743 | 2015-07-31 |
| 1548519648 | Tori L Fowler | Counselor | 112 W. Jackson, Hugo, OK 74743 | 2012-09-05 |
| 1174802219 | Malinda Burnett | Counselor | 1100 David Roebuck Lane, Hugo, OK 74743 | 2011-08-08 |
| 1942591490 | Joshua Asher Tims | Clinic/Center | 1213 E. Jackson St, Hugo, OK 74743 | 2011-05-02 |
| 1598998320 | Kimberly Dawn Jones | Social Worker | 1717 1/2 West Jackson, Hugo, OK 74743 | 2009-08-27 |
| 1689812547 | Adeline Youngblood | Counselor | 612 E Jackson, Hugo, OK 74743 | 2009-01-30 |
| Find all providers in zip 74743 | ||||
| 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 |
|---|---|---|---|---|
| 1154660652 | Tricounty Behavioral Health, LLC | Community/Behavioral Health | 203 E Jackson St, Hugo, OK 74743-4036 | 2013-02-05 |
| 1003060450 | Red River Counseling Center, LLC | Community/Behavioral Health | 100 N 5th St, Hugo, OK 74743-4005 | 2008-11-12 |
| 1619151941 | Lincoln County Wellness Foundation | Community/Behavioral Health | 103 Third St., Hugo, CO 80821 | 2007-12-21 |
| 1275658874 | Kiamichi Council On Alcoholism and Or Other Drug Abuse, Inc. | Community/Behavioral Health | 308 E Jefferson St, Hugo, OK 74743-4406 | 2007-03-20 |
| 1265966642 | Healing Hearts Counseling Center | Community/Behavioral Health | 3103 E Jackson St, Hugo, OK 74743-4051 | 2017-04-12 |
| 1467815464 | Four Seasons Counseling Services, Inc. | Community/Behavioral Health | 100 N 5th St, Hugo, OK 74743-4005 | 2016-03-29 |
| 1073938999 | Southeastern Oklahoma Family Services, Inc | Community/Behavioral Health | 1213 E Jackson St, Hugo, OK 74743-4229 | 2014-02-28 |
| 1013354299 | Healing Hearts Counseling Center, LLC | Community/Behavioral Health | 211 E Jackson St, Hugo, OK 74743-4036 | 2013-05-29 |
| 1922353119 | Cornerstone Counseling Service, L.L.C. | Community/Behavioral Health | 612 E Jackson St, Hugo, OK 74743 | 2012-07-13 |
| 1104183185 | Pathways Counseling Center of Oklahoma | Community/Behavioral Health | 112 W Jackson St, Hugo, OK 74743-3310 | 2012-04-16 |
| Find all providers in HUGO | ||||
Please comment or provide details below to improve the information on SEQUELCARE OF OKLAHOMA, LLC.
| 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.