JENNIFER KAVANAUGH LCSW LLC (NPI# 1194108415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194108415 |
| Entity Type | Organization |
| Organization Name | JENNIFER KAVANAUGH LCSW LLC |
| Practice Address |
3035 Nw 63rd St Suite 200 Oklahoma City OK 73116-3632 |
| Practice Telephone | 4056130523 |
| Mailing Telephone | 4056130523 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |
| Authorized Official Name | JENNIFER KAVANAUGH (LCSW) |
| Authorized Official Telephone | 4056130523 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
2299 | OK | Ambulatory Health Care Facilities |
| Street Address |
3035 NW 63RD ST SUITE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922075159 | James O Hale | Counselor | 3035 Nw 63rd St, Suite 200, Oklahoma City, OK 73116-3632 | 2006-03-07 |
| 1104357680 | Hannah Haikin | Counselor | 3035 Nw 63rd St, Oklahoma City, OK 73116-3632 | 2017-03-25 |
| 1669913117 | Sumali Fernando LLC | Psychologist | 3035 Nw 63rd St, Suite 225, Oklahoma City, OK 73116-3632 | 2017-03-16 |
| 1275082026 | Eric Scott | Counselor | 3035 Nw 63rd St, Suite 200, Oklahoma City, OK 73116-3632 | 2016-09-21 |
| 1063969897 | Gabrielle Toloza | Psychologist | 3035 Nw 63rd St, Suite 227, Oklahoma City, OK 73116-3632 | 2016-09-09 |
| 1538614326 | Muhamedagic, LLC | Psychologist | 3035 Nw 63rd St, Suite 227, Oklahoma City, OK 73116-3632 | 2016-08-22 |
| 1942753603 | Rebekah Wilson | Case Manager/Care Coordinator | 3035 Nw 63rd St, Suite 200, Oklahoma City, OK 73116-3632 | 2016-07-29 |
| 1760845218 | Merly Mathew, LLC | Psychologist | 3035 Nw 63rd St, Suite 227, Oklahoma City, OK 73116-3631 | 2016-04-01 |
| 1508236787 | Jonathan Hart | Psychologist | 3035 Nw 63rd St, Ste 227, Oklahoma City, OK 73116-3632 | 2015-10-01 |
| 1174902365 | James O Hale Ms Behavioral Health Services Inc | Counselor | 3035 Nw 63rd St, Suite 200, Oklahoma City, OK 73116-3632 | 2015-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801375324 | Hope Restored Counseling LLC | Clinic/Center | 1211 N Shartel Ave Ste 602, Oklahoma City, OK 73103-2445 | 2018-08-07 |
| 1518223502 | Rohit Gautam | Clinic/Center | 9205 S Shartel Ave Apt 201, Oklahoma City, OK 73139-5214 | 2012-04-04 |
| 1629268404 | Hope Counseling Services, Inc | Clinic/Center | 4411 Highline Blvd, Suite 204, Oklahoma City, OK 73108-1865 | 2007-07-27 |
| 1821562919 | Landmark Recovery Outpatient Services, LLC | Clinic/Center | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-01-11 |
| 1164903225 | Megan Rowe LLC | Clinic/Center | 3033 Nw 63rd St Ste 160e, Oklahoma City, OK 73116-3607 | 2018-08-27 |
| 1063939247 | Just A Step Counseling, Pllc | Clinic/Center | 10400 Vineyard Blvd Ste A, Oklahoma City, OK 73120-3830 | 2017-08-28 |
| 1639699267 | Lasting Change Therapy LLC | Clinic/Center | 10317 Greenbriar Pl Ste 400, Oklahoma City, OK 73159-7651 | 2017-06-24 |
| 1619418902 | Oklahoma Mental Health Council | Clinic/Center | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2017-03-20 |
| 1013462589 | Dynamic Communications Counseling Agency | Clinic/Center | 10325 Greenbriar Pl Ste B, Oklahoma City, OK 73159-7647 | 2016-08-24 |
| 1497117725 | Million Counseling and Professional Development, Pllc | Clinic/Center | 4900 Richmond Sq Ste 107, Oklahoma City, OK 73118-2043 | 2016-03-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on JENNIFER KAVANAUGH LCSW 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.