RACHEL LYNN WIEDEMAN (NPI# 1386876217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386876217 |
| Entity Type | Individual |
| Full Name | RACHEL LYNN WIEDEMAN |
| Credential | MA |
| Practice Address |
3604 N Cincinnati Ave Tulsa OK 74106-1536 |
| Mailing Address |
650 S Peoria Ave Tulsa OK 74120-4429 |
| Practice Telephone | 9184254200 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3604 N CINCINNATI AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74106-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922146315 | Blanca Nora Gaxiola-oakley | Counselor | 3604 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2007-02-01 |
| 1558605154 | Mary Elizabeth Chronister | Behavioral Analyst | 3604 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2012-11-20 |
| 1831463876 | Ofira Shoham | Counselor | 3604 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2012-03-07 |
| 1255603478 | Charles Eugene Foster | Counselor | 3604 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2012-02-03 |
| 1386912848 | Staci Brege Brown | Behavioral Analyst | 3604 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2011-12-12 |
| 1720363963 | Phyllis Ann White | Behavioral Analyst | 3604 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2011-10-19 |
| 1104110121 | Stephanie Marie Huene | Case Manager/Care Coordinator | 3604 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2011-06-07 |
| 1720378227 | A'rielle Quinchelle Luper | Case Manager/Care Coordinator | 3604 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2011-04-18 |
| 1336452622 | Yolanda J Walker | Counselor | 3604 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2010-07-15 |
| 1952629651 | Melissa A Morgan | Case Manager/Care Coordinator | 3604 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
| 1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
| 1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
| 1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
| 1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
| 1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
| 1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
| 1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
| Find all providers in zip 74106 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
| 1598316168 | Ryan David Sharpe | Counselor | 8218 S 77th East Ave Apt 1082, Tulsa, OK 74133-3966 | 2019-09-25 |
| 1588137780 | Hailee Dean Monroe | Counselor | 4103 S Yale Ave, Tulsa, OK 74135-6002 | 2019-01-10 |
| 1104308212 | Tawnya Denise Henderson | Counselor | 223 E Woodrow Pl, Tulsa, OK 74106-3729 | 2018-09-05 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1386146660 | Breanna White | Counselor | 7541 S Mingo Rd Apt 7154, Tulsa, OK 74133-3384 | 2018-03-02 |
| 1699285015 | Christina M Smalley | Counselor | 600 Civic Ctr, Tulsa, OK 74103-3829 | 2017-10-11 |
| 1700395902 | Rachel Lynn Richardson | Counselor | 5800 E Skelly Dr Ste 1100, Tulsa, OK 74135-6448 | 2017-09-20 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on RACHEL LYNN WIEDEMAN.
| 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.