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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251B00000X | Case Management | Agencies |
Other Name | Type Code |
---|---|
Grand Lake Mental Health Center, Inc.-Ottawa County | Other Name - Individual/Organization |
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 |
Street Address |
120 S TREATY RD |
City | MIAMI |
State | OK |
Zip Code | 74354-5326 |
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 |
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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 |
Find all providers in zip 74354 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
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] |
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 |
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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.