NEW BALANCE SERVICES, (NPI# 1417392515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417392515 |
| Entity Type | Organization |
| Organization Name | NEW BALANCE SERVICES, |
| Other Organization Name | NEW BALANCE COUNSELING AND SERVICES |
| Practice Address |
1625 Camden Way Edmond OK 73013-2942 |
| Practice Telephone | 4053283620 |
| Mailing Telephone | 4053283620 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |
| Authorized Official Name | MR. JEFFREY KEITH JENKINS I (THERAPIST) |
| Authorized Official Telephone | 4053283620 |
| Authorized Official Credential | LPC, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OK | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
OK | Behavioral Health & Social Service Providers | |
| N | 101YS0200X |
Counselor Specialization: School |
OK | Behavioral Health & Social Service Providers | |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
OK | Behavioral Health & Social Service Providers | |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
OK | Behavioral Health & Social Service Providers | |
| N | 103TF0000X |
Psychologist Specialization: Family |
OK | Behavioral Health & Social Service Providers | |
| N | 106H00000X | Marriage & Family Therapist | OK | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
OK | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| New Balance Counseling and Services | Other Name - Individual/Organization |
| Street Address |
1625 CAMDEN WAY |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034898 | Heather Jean Miller | Counselor | 1320 E 9th St Ste 8, Edmond, OK 73034-5773 | 2020-08-24 |
| 1225640337 | Michelle Davis Gannaway | Counselor | 13315 N Coltrane Rd, Edmond, OK 73013-8257 | 2020-08-19 |
| 1871132316 | Jaime Sue Taylor | Counselor | 26 E 9th St Ste B, Edmond, OK 73034-3911 | 2020-01-01 |
| 1124675749 | Kelly Love Wallace | Counselor | 2817 Stonebrook Rd, Edmond, OK 73003-2105 | 2019-08-19 |
| 1346704996 | Forward Momentum | Counselor | 1600 E 15th St Ste 503, Edmond, OK 73013-6690 | 2019-01-29 |
| 1952885030 | Cathy Ann Angier | Counselor | 1601 S State St Ste 400, Edmond, OK 73013-3697 | 2018-09-24 |
| 1639655400 | Hannah Elise Cordero | Counselor | 2120 S Broadway, Edmond, OK 73013-4021 | 2018-07-16 |
| 1306350368 | Stanley Michael Daniel | Counselor | 3116 Ne 138th St, Edmond, OK 73013-7068 | 2017-11-28 |
| 1699285601 | Jill Nichols | Counselor | 2221 E Memorial Rd, Edmond, OK 73013-5518 | 2017-10-04 |
| 1952857039 | Shae Gregston | Counselor | 2101 Brookview Ln, Edmond, OK 73034-4848 | 2016-08-29 |
| Find all providers in EDMOND | ||||
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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.