MR. THEODORE EDWARD CURTIS JR. (NPI# 1205177656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205177656 |
| Entity Type | Individual |
| Full Name | MR. THEODORE EDWARD CURTIS JR. |
| Practice Address |
26247 E 86th St S Broken Arrow OK 74014-6163 |
| Practice Telephone | 9185763840 |
| Mailing Telephone | 9185763840 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134219801 | Theodore Curtis | Ophthalmology | 90 S. Bedford Rd, Mt Kisco, NY 10549 | 2006-10-13 |
| Street Address |
26247 E 86TH ST S |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74014-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
| 1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
| 1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
| 1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
| 1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
| 1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
| 1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
| 1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
| 1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
| Find all providers in zip 74014 | ||||
| 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 |
|---|---|---|---|---|
| 1144859000 | Sunny Ann Tunnell | Counselor | 4310 S Redwood Ave, Broken Arrow, OK 74011-1443 | 2020-04-03 |
| 1164054623 | Bareha Ahmed | Counselor | 2035 W Houston St Ste A, Broken Arrow, OK 74012-8792 | 2020-02-12 |
| 1558725044 | Dana Thompson | Counselor | 308 N Hemlock Ave, Broken Arrow, OK 74012-2121 | 2016-04-11 |
| 1629457833 | Jamie Blalack | Counselor | 3100 E New Orleans St, Broken Arrow, OK 74014-3501 | 2015-05-20 |
| 1023454352 | Robin Lynn Mayo | Counselor | 514 W Atlanta St, Broken Arrow, OK 74012-7004 | 2013-05-14 |
| 1205270931 | Lily Altieri | Counselor | 1826 W Ithica St, Broken Arrow, OK 74012-7589 | 2013-04-24 |
| 1831533025 | Marcus 'mj' Johnson | Counselor | 508 E Fargo St, Broken Arrow, OK 74012-8881 | 2013-04-18 |
| 1306188685 | Lawanda L Henderson | Counselor | 19925 E 44th St S, Broken Arrow, OK 74014-8224 | 2013-03-25 |
| 1497097067 | Keisha D Beal | Counselor | 1306 W Phoenix Pl, Broken Arrow, OK 74011-1818 | 2013-03-21 |
| 1669713558 | Mina Scott | Counselor | 3201 W College St, Broken Arrow, OK 74012-2700 | 2013-03-03 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74014 |
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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.