MRS. CAMISHA BLACK (NPI# 1295902260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295902260 |
| Entity Type | Individual |
| Full Name | MRS. CAMISHA BLACK |
| Credential | BA |
| Practice Address |
619 N Main St Muskogee OK 74401-4431 |
| Practice Telephone | 9186828407 |
| Mailing Telephone | 9186828407 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
619 N MAIN ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776547 | Amber Marie Wade | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-24 |
| 1982210159 | Dakota James Smith | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-22 |
| 1154936755 | Katelyn Davis Ryan | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-10 |
| 1316551815 | Jonathan D Collins | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-02 |
| 1689287765 | Garrett Boyce Mcguire | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-28 |
| 1124630173 | Nia Ashleigh Collins | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-20 |
| 1083226484 | Robert Samuel Stewart | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-18 |
| 1609486430 | Rebecca Nicole Smith | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-06 |
| 1336758416 | Quinton Ross IIi | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-07-24 |
| 1851900914 | Shannan Marie Loman | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831653153 | Nikki Renee Miller | Counselor | 4708 Coyote Pass Ct, Muskogee, OK 74403-8433 | 2019-01-31 |
| 1831615137 | J'briel Elizabeth Porter | Counselor | 1312 W 60th St N, Muskogee, OK 74403-4405 | 2017-08-17 |
| 1144618505 | Tamala Walker | Counselor | 2604 Williams Ave, Muskogee, OK 74401-5676 | 2015-01-07 |
| 1215340922 | Anastasia Bearrentine | Counselor | 1217 N F St, Muskogee, OK 74403-2128 | 2014-06-10 |
| 1497166540 | Melinda A Jaynes | Counselor | 1203 Mccloud St, Muskogee, OK 74403-7150 | 2014-05-12 |
| 1114355468 | Joy Christina Mcnamee | Counselor | 2450 Hilldale Springs Cir Apt C, Muskogee, OK 74403-4072 | 2013-10-24 |
| 1598109472 | Christina R. Brewer | Counselor | 301 N 12th St, Muskogee, OK 74401-5910 | 2013-04-23 |
| 1033466503 | Edward G Bradley Jr. | Counselor | 223 N 3rd St, Suite 104, Muskogee, OK 74401-6609 | 2012-08-14 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| 1447581012 | Mary C Ward | Counselor | 111 1/2 S York St, Muskogee, OK 74403-5952 | 2010-01-21 |
| Find all providers in MUSKOGEE | ||||
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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.