YOUTH SERVICES OF TULSA (NPI# 1306905096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306905096 |
| Entity Type | Organization |
| Organization Name | YOUTH SERVICES OF TULSA |
| Practice Address |
311 S Madison Ave Tulsa OK 74120-3208 |
| Practice Telephone | 9185820061 |
| Mailing Telephone | 9185820061 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | CRAIG HENDERSON (DIRECTOR) |
| Authorized Official Telephone | 91895820061 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 261QM0801X | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100710510E | 05 |
| Street Address |
311 S MADISON AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74120-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528604683 | Monica Darnell | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2019-11-25 |
| 1205305851 | Jose Marino | Case Manager/Care Coordinator | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2018-11-13 |
| 1285163485 | Brittne Thompson | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2017-06-09 |
| 1336685007 | Jennifer Grosso | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2017-01-18 |
| 1235680497 | Jessica Richardson | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2016-10-21 |
| 1588118459 | Lindsey Baker | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2016-08-09 |
| 1639521636 | Cris Hicks | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2016-07-01 |
| 1093171738 | Dejon Leann Knapp | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2016-01-11 |
| 1952766966 | Abbie Ceesay Hambright | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2015-12-17 |
| 1932589389 | Nader Nofal | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2015-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| Find all providers in zip 74120 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853188 | New Beginnings Counseling Agency | Community/Behavioral Health | 6216 S Lewis Ave Ste 103, Tulsa, OK 74136-1017 | 2019-04-04 |
| 1194201723 | Heart Youth & Family Therapy, Inc. | Community/Behavioral Health | 3171 S 129th East Ave # A1161, Tulsa, OK 74134-3205 | 2018-07-17 |
| 1669968665 | Amayesing Skillz LLC | Community/Behavioral Health | 1108 W Tecumseh St, Tulsa, OK 74127-2506 | 2018-07-03 |
| 1093209660 | Phelps Helps, Inc. | Community/Behavioral Health | 4870 S Lewis Ave Ste 190, Tulsa, OK 74105-5186 | 2018-06-18 |
| 1891296836 | Aws Behavioral Health | Community/Behavioral Health | 9 E 4th St Ste 602, Tulsa, OK 74103-5103 | 2018-02-26 |
| 1831603448 | Tamika Ross | Community/Behavioral Health | 9339 E 56th St, Tulsa, OK 74145-7928 | 2017-11-20 |
| 1780133827 | Connections Counseling Group Pllc | Community/Behavioral Health | 1710 S Boston Ave, Tulsa, OK 74119-4810 | 2016-09-30 |
| 1861941940 | Tulsa Mental Health and Wellness Center | Community/Behavioral Health | 5103 S Sheridan Rd, # 653, Tulsa, OK 74145-7627 | 2016-09-29 |
| 1053761080 | Stacy Mitchell | Community/Behavioral Health | 2816 E 51st St, Tulsa, OK 74105-1737 | 2016-06-21 |
| 1851751135 | Phillip A Black LLC | Community/Behavioral Health | 4815 S Harvard Ave Ste 428, Tulsa, OK 74135-3068 | 2016-03-01 |
| Find all providers in TULSA | ||||
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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.