IRIDIA CHAVEZ MARES


Address: 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437
Phone: 4058581700

IRIDIA CHAVEZ MARES (NPI# 1114538477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114538477
Entity Type Individual
Full Name IRIDIA CHAVEZ MARES
Practice Address 2617 General Pershing Blvd
Oklahoma City
OK 73107-6437
Mailing Address Po Box 12978
Oklahoma City
OK 73157-2978
Practice Telephone 4058581700
Mailing Telephone 4058581700
Enumeration Date 2020-08-11
Last Update Date 2020-08-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 2617 GENERAL PERSHING BLVD
City OKLAHOMA CITY
State OK
Zip Code 73107-6437

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346245479 Ahsan Y Khan Psychiatry & Neurology 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 2005-06-16
1801402334 Karli Nicole Smith Counselor 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 2020-09-21
1306459193 Kristen Dunham Counselor 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 2020-08-31
1043823206 Cammie Lorraine Soriano Case Manager/Care Coordinator 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 2020-08-27
1386257673 Abigail Kirsten Williams Case Manager/Care Coordinator 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 2020-08-26
1962014258 Brandi Shearer Counselor 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 2020-08-19
1457961542 Tiffany Jeanette Lefebvre Peer Specialist 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 2020-08-04
1790393262 Amy Pavelka Case Manager/Care Coordinator 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 2020-07-21
1386262632 Riley Jordan Copeland Counselor 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 2020-07-13
1174147177 Lydia Haugh Case Manager/Care Coordinator 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 2020-06-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144747999 Ellen Rose Pochyly Counselor 2617 General Pershing Boulevard, Oklahoma City, OK 73107 2017-08-23
1609399906 Carrie Ann Moore Counselor 2617 General Pershing Blvd., Oklahoma City, OK 73107 2017-07-19
1821511320 Diana Lynn Spencer Counselor 2617generalpershingblvd, Oklahoma City, OK 73107 2017-07-18
1861859514 Catherine Evans Counselor 500 N Meridian Ave Ste 409, Oklahoma City, OK 73107 2016-01-26
1871964551 Kizzy Frazier Student in an Organized Health Care Education/Training Program 1233 N Warren Pl, Oklahoma City, OK 73107 2015-10-07
1538550629 Oklahoma Department of Mental Health and Substance Abuse Case Management 2625 General Pershing Boulevard, Oklahoma City, OK 73107 2015-02-10
1952702276 Andale Healthcare, LLC Clinic/Center 2305 N. Meridian, Oklahoma City, OK 73107 2014-09-05
1114339348 John Walls Psychologist 2012 North Villa Avenue, Oklahoma City, OK 73107 2014-05-22
1376970517 Latrice Warrior Community/Behavioral Health 2625 General Pershing Drive, Oklahoma City, OK 73107 2013-10-02
1326485541 Debra Sue Vaughan Counselor 2617 Genral Pershing Blvd, Oklahoma City, OK 73107 2013-05-29
Find all providers in zip 73107

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861002818 Keegan Eisenhardt Peer Specialist 6405 S Villa Ave, Oklahoma City, OK 73159-2741 2020-08-05
1689283780 Gregory Purvis Jr. Peer Specialist 1305 Parkwoods Ct, Oklahoma City, OK 73110-7425 2020-07-24
1609485762 Amanda Elaine Cruz Peer Specialist 1605 Nw 30th St Apt 228, Oklahoma City, OK 73118-3622 2020-07-24
1063021384 Christina Len Petty Peer Specialist 2144 Nw 29th St, Oklahoma City, OK 73107-2526 2020-07-23
1104443977 Jennifer Lynn Cobb Peer Specialist 2400 General Pershing Blvd Apt 308, Oklahoma City, OK 73107-6429 2020-06-28
1801412135 Cleborn Gossett Peer Specialist 721 Waterview Rd, Oklahoma City, OK 73170-1637 2020-06-23
1487270617 Foxy S Starnes Peer Specialist 9008 N Shannon Ave, Oklahoma City, OK 73132-1142 2020-06-23
1154945582 Alexandra Paige Mcgowan-rayburn Peer Specialist 4129 Nw 21st St, Oklahoma City, OK 73107-2607 2020-06-01
1962034504 Crystal Rose Mckee Peer Specialist 3417 S Independence Ave, Oklahoma City, OK 73119-2617 2020-02-11
1508496662 Brie Jordan Florence Peer Specialist 2640 Sw 95th St, Oklahoma City, OK 73159-6720 2020-01-16
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73107

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Dataset Information

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.

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