DYLAN GLASCO (NPI# 1083227862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083227862 |
| Entity Type | Individual |
| Full Name | DYLAN GLASCO |
| Practice Address |
103 W Main St Wilburton OK 74578-4043 |
| Mailing Address |
104 Baird Ct Wilburton OK 74578-5104 |
| Practice Telephone | 9184657890 |
| Mailing Telephone | 9184295424 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
103 W MAIN ST |
| City | WILBURTON |
| State | OK |
| Zip Code | 74578-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560202 | Zackary Vinson | Counselor | 103 W Main St, Wilburton, OK 74578-4043 | 2020-08-31 |
| 1851921522 | Central Focus LLC | Community/Behavioral Health | 103 W Main St, Wilburton, OK 74578-4043 | 2020-01-22 |
| 1851938278 | Amara Leigh Kirkes | Counselor | 103 W Main St, Wilburton, OK 74578-4043 | 2019-12-04 |
| 1447812532 | Rise Up Counseling LLC | Counselor | 103 W Main St, Wilburton, OK 74578-4043 | 2019-06-28 |
| 1346702354 | Kurt Ruark | Counselor | 103 W Main St, Wilburton, OK 74578-4043 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539541 | Keli Jo Spears | Counselor | 10975 Sw Hwy 1, Wilburton, OK 74578 | 2019-07-01 |
| 1932564523 | Jennifer Roberts | Behavioral Analyst | 101 Blassingame Ct, Wilburton, OK 74578 | 2015-12-23 |
| 1285988683 | Cheryl Lin Kennon | Contractor | 320 Medlock St, Wilburton, OK 74578 | 2012-11-07 |
| 1578783684 | Debra Ann Jacobs | Day Training/Habilitation Specialist | 312 Se 5th Street, Wilburton, OK 74578 | 2007-04-30 |
| 1891817664 | Rustling Winds Inc | Counselor | 211 West Main, Wilburton, OK 74578 | 2007-04-04 |
| 1427143429 | Ricardo Mariano Valbuena | Family Medicine | 1107 West Main Street, Wilburton, OK 74578 | 2006-10-04 |
| 1780676320 | Home Care Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 9128 Nw Hwy 2, Wilburton, OK 74578 | 2005-08-19 |
| 1467733535 | Wilburton Public Schools | Local Education Agency (LEA) | 1201 W Blair Ave, Wilburton, OK 74578-2009 | 2011-09-02 |
| 1154617405 | Laurie Lee Franco | Case Management | 508 Nw 4th St, Wilburton, OK 74578-2216 | 2011-06-24 |
| 1386070886 | Tennie I Clark | Case Manager/Care Coordinator | 805 W Durant Ave, Wilburton, OK 74578-2243 | 2013-09-17 |
| Find all providers in zip 74578 | ||||
| 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 |
|---|---|---|---|---|
| 1619539541 | Keli Jo Spears | Counselor | 10975 Sw Hwy 1, Wilburton, OK 74578 | 2019-07-01 |
| 1417560202 | Zackary Vinson | Counselor | 103 W Main St, Wilburton, OK 74578-4043 | 2020-08-31 |
| 1851938278 | Amara Leigh Kirkes | Counselor | 103 W Main St, Wilburton, OK 74578-4043 | 2019-12-04 |
| 1225579055 | Mercedes Garcia | Counselor | 301 E Main St Ste 3, Wilburton, OK 74578-4415 | 2017-03-13 |
| 1932551330 | Brianna Caldwell | Counselor | 301 E Main St Ste 3, Wilburton, OK 74578-4415 | 2016-07-08 |
| 1245580372 | Christi Pollard | Counselor | 131 W Main St, Wilburton, OK 74578-4043 | 2012-09-17 |
| 1982954228 | Candice Lynell Ott | Counselor | 113 W Ada Ave, Wilburton, OK 74578-2416 | 2012-09-13 |
| 1154682177 | Marla Lynn Hill | Counselor | 311 W Main St, Wilburton, OK 74578-4047 | 2012-06-06 |
| 1649554817 | Danielle J Bly | Counselor | 113 W Ada Ave, Wilburton, OK 74578-2416 | 2011-10-05 |
| 1821308651 | Ernest Robert Bedford IIi | Counselor | 311 W Main St, Wilburton, OK 74578-4047 | 2010-10-14 |
| Find all providers in WILBURTON | ||||
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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.