MARZETTE WALLACE (NPI# 1396118808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396118808 |
| Entity Type | Individual |
| Full Name | MARZETTE WALLACE |
| Practice Address |
1330 N Classen Blvd Suite 306 Oklahoma City OK 73106-6835 |
| Mailing Address |
6103 N Meridian Ave Apt 114 Oklahoma City OK 73112-1255 |
| Practice Telephone | 4056944053 |
| Practice Fax Number | 4052257326 |
| Mailing Telephone | 4056357512 |
| Mailing Fax Number | 4052257326 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
1330 N CLASSEN BLVD SUITE 306 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73106-6835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629033063 | Diana Winslow | Social Worker | 1330 N Classen Blvd, Suite 104, Oklahoma City, OK 73106-6835 | 2006-04-19 |
| 1588107478 | Lawrence Allen Bailey | Counselor | 1330 N Classen Blvd, Oklahoma City, OK 73106-6835 | 2016-11-23 |
| 1821461021 | Phyllis Crawford | Case Management | 1330 N Classen Blvd, Suite 302, Oklahoma City, OK 73106-6835 | 2015-11-10 |
| 1396118295 | Krista Jimerson | Counselor | 1330 N Classen Blvd, Oklahoma City, OK 73106-6835 | 2015-11-02 |
| 1467829549 | Kay Jones | Behavioral Analyst | 1330 N Classen Blvd, Ste. 306, Oklahoma City, OK 73106-6835 | 2015-08-25 |
| 1316329451 | Taryn Lenore Bradley | Case Management | 1330 N Classen Blvd, Oklahoma City, OK 73106-6835 | 2015-06-25 |
| 1568843514 | Glory In Service, LLC | Community/Behavioral Health | 1330 N Classen Blvd, Suite 310, Oklahoma City, OK 73106-6835 | 2015-06-16 |
| 1467850453 | Nicole Ellis | Case Management | 1330 N Classen Blvd, Suite 302, Oklahoma City, OK 73106-6835 | 2014-12-08 |
| 1376952473 | La Tasha Toppah | Case Manager/Care Coordinator | 1330 N Classen Blvd, Suite 306, Oklahoma City, OK 73106-6835 | 2014-08-04 |
| 1114332533 | Renaissance Counseling Services Pllc | Counselor | 1330 N Classen Blvd, Suite 314, Oklahoma City, OK 73106-6835 | 2014-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1598290538 | Eric T Manuel | Counselor | 1841 Nw 18th Street, Oklahoma City, OK 73106 | 2017-04-27 |
| 1679010516 | Danny Lee Stone | Peer Specialist | 3010 N Mckinley Ave, Oklahoma City, OK 73106 | 2017-01-31 |
| 1245683929 | Shandi Alphonso | Peer Specialist | 1219 N.w. 9th St., Okc, OK 73106 | 2016-07-19 |
| 1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
| 1114317435 | Savanah Brook Caddel | Counselor | 1251 Nw 25th St, Oklahoma City, OK 73106 | 2015-01-24 |
| 1619381084 | Theressa Hall | Case Manager/Care Coordinator | 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 | 2014-06-13 |
| 1417376021 | Christe Lyn Sweat | Case Manager/Care Coordinator | 900 Nw 10 Street, Oklahoma City, OK 73106 | 2014-04-10 |
| 1003169004 | Jessica Stevie Schrameck | Counselor | 1017 Nw 6th St., Oklahoma City, OK 73106 | 2012-10-16 |
| 1841579166 | Frances Bernice Pasternik | Counselor | 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 | 2011-08-04 |
| Find all providers in zip 73106 | ||||
| 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 |
|---|---|---|---|---|
| 1437758323 | Free Your Mind Counseling | Case Management | 10802 Quail Plaza Dr Ste 208, Oklahoma City, OK 73120-3121 | 2020-10-21 |
| 1619588134 | Coral LLC | Case Management | 12352 Market Dr, Oklahoma City, OK 73114-8136 | 2020-08-10 |
| 1871158048 | Rhiannon Ferguson | Case Management | 9711 Ne 2nd Pl, Oklahoma City, OK 73130-3509 | 2019-05-03 |
| 1659844892 | Kim Edwards | Case Management | 1600 Ne 8th St, Oklahoma City, OK 73117-2804 | 2019-01-10 |
| 1962997072 | Stephen Vaughn Johnson | Case Management | 5910 Nw 58th Steet, Oklahoma City, OK 73122 | 2018-06-30 |
| 1467977447 | Quinta Ajebekong Atem | Case Management | 2626 N Meridian Ave Apt 101, Oklahoma City, OK 73107-1004 | 2017-08-10 |
| 1730603010 | Rita Akubueze | Case Management | 4312 Nw 50th St Apt 222, Oklahoma City, OK 73112-2287 | 2017-07-28 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1811438799 | Terrance Green | Case Management | 3421 Nw 46th St, Oklahoma City, OK 73112-6101 | 2017-03-13 |
| 1336684950 | Maisha Ford | Case Management | 825 Ne 70th St, Oklahoma City, Oklahoma City, OK 73105-6009 | 2017-01-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73106 |
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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.