MRS. CARRA LEA BURRAGE (NPI# 1427308451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427308451 |
| Entity Type | Individual |
| Full Name | MRS. CARRA LEA BURRAGE |
| Practice Address |
1410 South Gin Road Atoka OK 74525 |
| Mailing Address |
809 Ne 2nd St Antlers OK 74523-2640 |
| Practice Telephone | 5808893399 |
| Mailing Telephone | 5802718888 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200287120A | 05 |
| Street Address |
1410 SOUTH GIN ROAD |
| City | ATOKA |
| State | OK |
| Zip Code | 74525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396177150 | Rissa Johnson | Counselor | 1410 South Gin Road, Atoka, OK 74525 | 2013-08-05 |
| 1679917199 | Brittany Ja'dawn Guyer | Counselor | 1410 South Gin Road, Atoka, OK 74525 | 2013-04-26 |
| 1720339989 | Cheryl Denise Kite | Counselor | 1410 South Gin Road, Atoka, OK 74525 | 2012-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383493 | Brandi Genita Neese | Peer Specialist | 1097.2 S Farris Rd, Atoka, OK 74525 | 2019-12-19 |
| 1043739717 | Crystal Gossett | Student in an Organized Health Care Education/Training Program | 1680 S Greathouse Drive, Atoka, OK 74525 | 2017-09-14 |
| 1124544580 | Regina Pfaff | Student in an Organized Health Care Education/Training Program | 1680 S. Greathouse Drive, Atoka, OK 74525 | 2017-08-17 |
| 1730533860 | Wild Horse Counseling Service, LLC | Community/Behavioral Health | 1088 S Gin Rd., Atoka, OK 74525 | 2016-04-14 |
| 1740651801 | Aleisha Williams | Counselor | 101 S. Jefferson Hwy, Atoka, OK 74525 | 2015-10-15 |
| 1013383793 | Kay Banks | Student in an Organized Health Care Education/Training Program | 706 S. Greathouse Drive, Atoka, OK 74525 | 2015-08-17 |
| 1871977926 | Malinda Leann Mccall | Speech-Language Pathologist | 706 S Greathouse Drive, Atoka, OK 74525 | 2015-07-17 |
| 1467834069 | Christi Curry | Student in an Organized Health Care Education/Training Program | 800 South Greathouse Drive, Atoka, OK 74525 | 2015-06-19 |
| 1215318944 | Lauren Baker | Student in an Organized Health Care Education/Training Program | 706 South Greathouse Drive, Atoka, OK 74525 | 2015-06-18 |
| 1104210251 | Kheri Smith | Counselor | 1401 S Gin Rd, Atoka, OK 74525 | 2015-03-26 |
| Find all providers in zip 74525 | ||||
| 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 |
|---|---|---|---|---|
| 1013428903 | Brian Alan Mixon | Counselor | 2874 S Oak Tree Ln, Atoka, OK 74525-5434 | 2017-10-18 |
| 1134502636 | Gary Heath Mccool | Counselor | 410 N Highway 69, Atoka, OK 74525-2905 | 2015-07-01 |
| 1497177562 | Janna Joelle Ridgway | Counselor | 520 S Lady Cat Dr, Atoka, OK 74525-2900 | 2014-01-09 |
| 1225385412 | Teeoti N Littlefield | Counselor | 1410 S. Gin Rd., Atoka, OK 74525 | 2012-08-07 |
| 1275896680 | Alexander Miller | Counselor | 1410 S. Gin Road, Atoka, OK 74525-0000 | 2012-06-20 |
| 1427321157 | Jacquelyn Jones | Counselor | 303 E. Court St., Atoka, OK 74525 | 2012-02-10 |
| 1104107499 | Carla Aneta Grimsley | Counselor | 370 W Community Chappell Rd, Atoka, OK 74525 | 2011-08-31 |
| 1235457953 | Lashelle Lynn Goff | Counselor | 206 N Ohio Ave, Atoka, OK 74525-2040 | 2010-05-05 |
| 1922325018 | Karie M. Shannon | Counselor | 705 W. 13th Street, Atoka, OK 74525-0000 | 2010-04-28 |
| 1235456989 | Michelle Rebekah Allen | Counselor | 1501 S Virginia, Atoka, OK 74525 | 2010-04-21 |
| Find all providers in ATOKA | ||||
Please comment or provide details below to improve the information on MRS. CARRA LEA BURRAGE.
| 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.