EAGLE RIDGE INSTITUTE (NPI# 1104182633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104182633 |
| Entity Type | Organization |
| Organization Name | EAGLE RIDGE INSTITUTE |
| Practice Address |
601 Ne 63rd St Oklahoma City OK 73105-6407 |
| Practice Telephone | 4058401359 |
| Mailing Telephone | 4058401359 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Authorized Official Name | MR. JOHN MAYFIELD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4058401359 |
| Authorized Official Credential | M.DIV. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 7272 | OK | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851521363 | Eagle Ridge Institute | Community/Behavioral Health | 109 W 2nd Street, Tahlequah, OK 74464 | 2009-07-17 |
| 1669602173 | Eagle Ridge Institute | Community/Behavioral Health | 1515 W Chickasaw, Sallisaw, OK 74955 | 2009-07-17 |
| 1780801373 | Eagle Ridge Institute | Community/Behavioral Health | 501 E Delaware, Mcalester, OK 74501 | 2007-04-18 |
| 1164544599 | Eagle Ridge Institute | Substance Abuse Rehabilitation Facility | 5427 Easy St, Guthrie, OK 73044-6621 | 2007-04-05 |
| 1396889556 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-02-19 |
| 1629285267 | Eagle Ridge Institute | Community/Behavioral Health | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2007-05-16 |
| 1073730545 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-04-19 |
| 1790902260 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-04-19 |
| 1821119447 | Eagle Ridge Institute | Community/Behavioral Health | 109 S Harrill Ave, 1, Wagoner, OK 74467-5317 | 2007-04-02 |
| Street Address |
601 NE 63RD ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396889556 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-02-19 |
| 1851750566 | Stephanie Orner | Psychologist | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2016-02-23 |
| 1972918886 | Anthony Crawford Jr. | Contractor | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2014-06-30 |
| 1699047092 | Eagle Ridge | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2012-01-31 |
| 1205118783 | Rendy Janssen | Marriage & Family Therapist | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2011-09-12 |
| 1679890867 | Candice Lynn Clinton | Counselor | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2010-04-27 |
| 1063643781 | Heartsong Turnbull | Counselor | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2009-07-29 |
| 1073730545 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-04-19 |
| 1790902260 | Eagle Ridge Institute | Community/Behavioral Health | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-04-19 |
| 1912020132 | Marcus L Moore | Case Manager/Care Coordinator | 601 Ne 63rd St, Oklahoma City, OK 73105-6407 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758323 | Free Your Mind Counseling | Case Management | 10802 Quail Plaza Dr Ste 208, Oklahoma City, OK 73120-3121 | 2020-10-21 |
| 1619588134 | Coral LLC | Case Management | 12352 Market Dr, Oklahoma City, OK 73114-8136 | 2020-08-10 |
| 1871158048 | Rhiannon Ferguson | Case Management | 9711 Ne 2nd Pl, Oklahoma City, OK 73130-3509 | 2019-05-03 |
| 1659844892 | Kim Edwards | Case Management | 1600 Ne 8th St, Oklahoma City, OK 73117-2804 | 2019-01-10 |
| 1962997072 | Stephen Vaughn Johnson | Case Management | 5910 Nw 58th Steet, Oklahoma City, OK 73122 | 2018-06-30 |
| 1467977447 | Quinta Ajebekong Atem | Case Management | 2626 N Meridian Ave Apt 101, Oklahoma City, OK 73107-1004 | 2017-08-10 |
| 1730603010 | Rita Akubueze | Case Management | 4312 Nw 50th St Apt 222, Oklahoma City, OK 73112-2287 | 2017-07-28 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1811438799 | Terrance Green | Case Management | 3421 Nw 46th St, Oklahoma City, OK 73112-6101 | 2017-03-13 |
| 1336684950 | Maisha Ford | Case Management | 825 Ne 70th St, Oklahoma City, Oklahoma City, OK 73105-6009 | 2017-01-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73105 |
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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.