GRAND LAKE MENTAL HEALTH CENTER, INC.


Address: 120 S Treaty Rd, Miami, OK 74354-5326
Phone: 9185401511

GRAND LAKE MENTAL HEALTH CENTER, INC. (NPI# 1306854245) 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) 1306854245
Entity Type Organization
Organization Name GRAND LAKE MENTAL HEALTH CENTER, INC.
Other Organization Name GRAND LAKE MENTAL HEALTH CENTER, INC.-OTTAWA COUNTY
Practice Address 120 S Treaty Rd
Miami
OK 74354-5326
Mailing Address 114 W Delaware Ave
Nowata
OK 74048-2601
Practice Telephone 9185401511
Practice Fax Number 9185427374
Mailing Telephone 9185401511
Mailing Fax Number 9185427374
Enumeration Date 2006-08-04
Last Update Date 2020-08-22
Authorized Official Name REBECCA COX (MIS/REIMBURSEMENT COORDINATOR)
Authorized Official Telephone 9182731841
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251B00000X Case Management Agencies

Other Provider/Organization Names

Other Name Type Code
Grand Lake Mental Health Center, Inc.-Ottawa County Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912531344 Grand Lake Mental Health Center, Inc. Clinic/Center 3186 W Highway 412, West Siloam Springs, OK 74338-1356 2020-02-25
1760022602 Grand Lake Mental Health Center, Inc. Clinic/Center 1010 Harbor Rd, Grove, OK 74344-5147 2020-01-08
1932749876 Grand Lake Mental Health Center, Inc. Clinic/Center 211 N Hwy 10 Ste D, Kansas, OK 74347-0000 2020-01-08
1487201133 Grand Lake Mental Health Center, Inc. Clinic/Center 7307 S Yale Ave, Suite 101, Tulsa, OK 74136-7134 2019-08-19
1114458858 Grand Lake Mental Health Center, Inc. Clinic/Center 211 N. Hwy 59 Ste A and B, Kansas, OK 74347-7607 2017-03-24
1598216087 Grand Lake Mental Health Center, Inc. Clinic/Center 1010 Harber Rd, Grove, OK 74344-5147 2016-10-19
1003292061 Grand Lake Mental Health Center, Inc. Clinic/Center 1370 Se Washington Blvd, Bartlesville, OK 74006-4519 2015-07-31
1114269917 Grand Lake Mental Health Center, Inc. Clinic/Center 9432 N. May Ave, Suite D, Oklahoma City, OK 73120-2723 2013-03-20
1104167204 Grand Lake Mental Health Center, Inc. Clinic/Center 9430 N May Ave, Oklahoma City, OK 73120-2712 2013-03-14
1922017060 Grand Lake Mental Health Center, Inc. Case Management 513 S Quapaw Ave, Bartlesville, OK 74003-4331 2006-08-07

Office Location

Street Address 120 S TREATY RD
City MIAMI
State OK
Zip Code 74354-5326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164769071 Kylie Fischer Counselor 120 S Treaty Rd, Miami, OK 74354-5326 2013-01-11
1518204817 Mellisa Barnes Counselor 120 S Treaty Rd, Miami, OK 74354-5326 2013-01-08
1053658351 Jennifer Shobe Counselor 120 S Treaty Rd, Miami, OK 74354-5326 2013-01-08
1013253111 Phillip Horn Counselor 120 S Treaty Rd, Miami, OK 74354-5326 2012-12-17
1578809778 Angela Bond Counselor 120 S Treaty Rd, Miami, OK 74354-5326 2012-12-17
1194060699 Christi Young Counselor 120 S Treaty Rd, Miami, OK 74354-5326 2012-12-10
1427306349 Melanie Terneus Counselor 120 S Treaty Rd, Miami, OK 74354-5326 2012-08-27
1548516321 Phillip John Shyers Jr. Counselor 120 S Treaty Rd, Miami, OK 74354-5326 2012-07-30
1366797698 Derek Stapleton Counselor 120 S Treaty Rd, Miami, OK 74354-5326 2012-07-24
1750644522 Zachary Marrett Counselor 120 S Treaty Rd, Miami, OK 74354-5326 2012-06-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447786603 Coal Creek Counseling, LLC Social Worker 204 D St Ne, Miami, OK 74354 2017-05-10
1164958567 Yco Tulsa, Inc Counselor 1458 E Steve Owens Blvd, Miami, OK 74354 2017-05-04
1982064226 Yco Tulsa, Inc Clinic/Center 1519 E Steve Owens Blvd, Miami, OK 74354 2016-02-29
1548641285 Courtney Marie Winfrey Occupational Therapy Assistant 310 2nd Ave Sw Fl 3, Miami, OK 74354 2015-06-17
1417338039 Michelle Dawn Johnson Case Manager/Care Coordinator 1519 E. Steve Owens Blvd, Miami, OK 74354 2015-06-10
1790100337 Jordan Taylor-threet Speech-Language Pathologist 2225 N. Main St., Miami, OK 74354 2014-02-19
1700137551 Miami Healthcare, LLC Skilled Nursing Facility 2530 North Elm St., Miami, OK 74354 2012-09-19
1144507534 Julia Brown Pharmacist 11 West Central, Miami, OK 74354 2011-11-14
1841504685 Dodie A Giles Keith Counselor 33 C Street Northeast, Miami, OK 74354 2010-08-04
1013221571 Katherine Renee Burke Counselor 111 S. Treaty Rd., Miami, OK 74354 2010-07-27
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Taxonomy Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295336113 Health Sunshine Wellness Corp Case Management 3525 Nw 7th St Ste 1a, Miami, FL 33125-4015 2020-11-06
1457951030 Best Behavioral Health Case Management Services Case Management 753 Ne 79th St Unit Cu-2, Miami, FL 33138-4711 2020-10-31
1316547169 Miguel F Perez Mba & Associates LLC Case Management 4995 Nw 72nd Ave Ste 400, Miami, FL 33166-5643 2020-10-30
1396344628 Julio Cuellar Case Management 12905 Sw 42nd St Ste 209, Miami, FL 33175-2912 2020-10-19
1992303101 Roberto Reyes Case Management 13701 Sw 88th St Ste 301, Miami, FL 33186-1309 2020-10-12
1770180093 Avila Health Solutions Case Management 5600 Sw 135th Ave Ste 200d, Miami, FL 33183-5101 2020-10-09
1427665967 Evolution Health Management, Corp. Case Management 11077 Biscayne Blvd Ste 402, Miami, FL 33161-7481 2020-09-29
1255948949 Optimum Mental Health Solutions Inc Case Management 15715 S Dixie Hwy Ste 412, Miami, FL 33157-1884 2020-09-26
1720695786 Bright Life Community Care Corp Case Management 9145 Sw 40th St Ste 1b, Miami, FL 33165-5371 2020-09-24
1730795311 Florida Social Health Solutions LLC Case Management 15528 Sw 72nd St, Miami, FL 33193-1900 2020-09-19
Find all providers in MIAMI

Competitor

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City MIAMI
Zip Code 74354

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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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