JON R PENOI (NPI# 1104049410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104049410 |
| Entity Type | Individual |
| Full Name | JON R PENOI |
| Credential | L.A.D.C. |
| Practice Address |
425 Nw 7th St Oklahoma City OK 73102-2810 |
| Mailing Address |
704 Neal Cir El Reno OK 73036-5620 |
| Practice Telephone | 4052359709 |
| Mailing Telephone | 4052359709 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
217 | OK | Behavioral Health & Social Service Providers |
| Street Address |
425 NW 7TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477745974 | Rita S. Odom | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102-2810 | 2007-08-17 |
| 1376742924 | Julie Deason | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102-2810 | 2007-07-13 |
| 1386843258 | Jennifer Jane Mcdoulett | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102-2810 | 2007-07-12 |
| 1295939957 | Barbara A. Smith | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102-2810 | 2007-06-14 |
| 1356545016 | Michael Ira Holloway | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102-2810 | 2007-06-14 |
| 1902018823 | Marvin Eugene Smith | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102 | 2007-05-04 |
| 1447471586 | Ronda Janelle Rounsaville | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102-2810 | 2007-05-02 |
| 1659592368 | Steve Edward Stevens | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102-2810 | 2007-05-01 |
| 1730300245 | Philip Andrew Young | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102-2810 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| Find all providers in zip 73102 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1760021984 | Damilola Mosebolatan Akintola | Counselor | 5013 Oak Manor Dr, Oklahoma City, OK 73135-2235 | 2020-01-06 |
| 1376185934 | Kevin Pierson | Counselor | 8536 N Lindsay Ave, Oklahoma City, OK 73114-0801 | 2019-10-15 |
| 1922651249 | Timothy Aaron Vick | Counselor | 5101 Nw 26th St, Oklahoma City, OK 73127-1723 | 2019-07-17 |
| 1093378218 | Crentha S Turner | Counselor | 11227 Nile Ave, Oklahoma City, OK 73114-7071 | 2019-04-15 |
| 1720564933 | Dawn Lea Long Counseling LLC | Counselor | 5350 S Western Ave Ste 211, Oklahoma City, OK 73109-4525 | 2018-07-11 |
| 1902395494 | Tisha Lee Rodriguez | Counselor | 4001 N Classen Blvd Ste 105, Oklahoma City, OK 73118-2668 | 2018-05-09 |
| 1306349378 | Charlene Hester | Counselor | 1000 Sw 44th St Ste 200, Oklahoma City, OK 73109-3629 | 2018-03-15 |
| 1114425121 | Jacob Ian Arnold | Counselor | 521 N Council Rd Apt G, Oklahoma City, OK 73127-4971 | 2018-01-24 |
| 1225546534 | Christopher Dewayne Grant | Counselor | 807 Ne 21st St, Oklahoma City, OK 73105-8213 | 2018-01-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
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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.