JACOB TODD PENNINGTON II (NPI# 1306202643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306202643 |
| Entity Type | Individual |
| Full Name | JACOB TODD PENNINGTON II |
| Practice Address |
900 N Broadway St Suite 1 Poteau OK 74953-2617 |
| Mailing Address |
Po Box 1335 Poteau OK 74953-1335 |
| Practice Telephone | 9186490772 |
| Mailing Telephone | 9186490772 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174915235 | Jacob Pennington | Orthopaedic Surgery | 9500 Euclid Ave # A41, Cleveland, OH 44195-2819 | 2015-02-26 |
| Street Address |
900 N BROADWAY ST SUITE 1 |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295909349 | Christian D Heim | Counselor | 900 N Broadway St, Suite 1, Poteau, OK 74953-2617 | 2008-04-19 |
| 1881026060 | Amanda Bourne | Counselor | 900 N Broadway St, Ste 1, Poteau, OK 74953-2617 | 2013-07-30 |
| 1720330731 | Celia Abernathy | Counselor | 900 N Broadway St, Poteau, OK 74953-2617 | 2012-10-15 |
| 1891044582 | Tyna Lyndelle Martin | Counselor | 900 N Broadway St, Poteau, OK 74953-2617 | 2012-09-10 |
| 1225397284 | Beth Stanford | Counselor | 900 N Broadway St, Poteau, OK 74953-2617 | 2012-05-11 |
| 1982974622 | Tracy Kent Ellis | Behavioral Analyst | 900 N Broadway St, Poteau, OK 74953-2617 | 2012-01-11 |
| 1942598719 | Lori Deane' Brown | Psychologist | 900 N Broadway St, Poteau, OK 74953-2617 | 2011-07-14 |
| 1538454582 | Joly Dell Kettles | Counselor | 900 N Broadway St, Poteau, OK 74953-2617 | 2011-06-17 |
| 1588953202 | Sandra Kay Lum | Counselor | 900 N Broadway St, Poteau, OK 74953-2617 | 2011-04-04 |
| 1700183829 | Counseling Services of Leflore County | Community/Behavioral Health | 900 N Broadway St, Poteau, OK 74953-2617 | 2011-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346841 | Ronnie Williford | Case Manager/Care Coordinator | 14764 Green Top Rd, Poteau, OK 74953-7380 | 2020-05-05 |
| 1902385578 | Ashlee Dawn Johnson | Case Manager/Care Coordinator | 2704 N Broadway St, Poteau, OK 74953-5402 | 2018-08-14 |
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1518405315 | Trena Medlock | Case Manager/Care Coordinator | 401 N Church St # K, Poteau, OK 74953-3502 | 2017-02-01 |
| 1164969887 | Trinka Blankenship | Case Manager/Care Coordinator | 509 Dewey St, Poteau, OK 74954 | 2017-01-20 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1285026203 | Beverly Thomas | Case Manager/Care Coordinator | 34182 Country Club Ln, Poteau, OK 74953-9123 | 2015-02-27 |
| 1760880272 | Amber Nichole Hart | Case Manager/Care Coordinator | 401 Deertail Dr, Poteau, OK 74953-5526 | 2014-12-15 |
| 1366857823 | Michay Lee Gibson | Case Manager/Care Coordinator | 34242 Choctaw Ln, Poteau, OK 74953-5264 | 2014-06-24 |
| 1003229956 | Jerilyn Neal | Case Manager/Care Coordinator | 502 Hughes Dr, Poteau, OK 74953-2045 | 2014-06-09 |
| Find all providers in POTEAU | ||||
Please comment or provide details below to improve the information on JACOB TODD PENNINGTON II.
| 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.