CREOKS BEHAVIORAL HEALTH SERVICES (NPI# 1427311687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427311687 |
| Entity Type | Organization |
| Organization Name | CREOKS BEHAVIORAL HEALTH SERVICES |
| Practice Address |
426 W Los Angeles Pl Broken Arrow OK 74011-4835 |
| Practice Telephone | 6204048981 |
| Mailing Telephone | 6204048981 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |
| Authorized Official Name | JENNIFER RAE MINTON (BHRS) |
| Authorized Official Telephone | 6204048981 |
| Authorized Official Credential | M.S. LPC CANDIDA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 25103TC1900X | OK | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194152843 | Creoks Behavioral Health Services | Case Management | 608 S Wilson Ave, Okmulgee, OK 74447-6139 | 2013-09-26 |
| 1619312188 | Creoks Behavioral Health Services | Community/Behavioral Health | 1059 E 60th St, # 222, Tulsa, OK 74105-8331 | 2013-05-09 |
| 1487867263 | Creoks Behavioral Health Services | Community/Behavioral Health | 2455 N Boston Pl, Tulsa, OK 74106-3610 | 2007-05-08 |
| 1447812029 | Creoks Behavioral Health Services | Clinic/Center | 1500 N 6th St, Ponca City, OK 74601-2827 | 2019-07-03 |
| 1558815936 | Creoks Behavioral Health Services | Case Management | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2016-08-15 |
| 1912327107 | Creoks Behavioral Health Services | Case Management | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2014-04-26 |
| 1609164490 | Creoks Behavioral Health Services | Community/Behavioral Health | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2011-07-14 |
| 1821257940 | Creoks Behavioral Health Services | Case Management | 209 W Broadway St, Okemah, OK 74859-2618 | 2008-06-04 |
| 1841479110 | Creoks Behavioral Health Services | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2007-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CREOKS BEHAVIORAL HEALTH SERVICES | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 |
| Street Address |
426 W LOS ANGELES PL |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74011-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336663699 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 | 2017-07-28 |
| 1053833608 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Suite 101, Broken Arrow, OK 74011 | 2017-07-14 |
| 1184079709 | Melissa David | Lactation Consultant, Non-RN | 417 West San Diego St., Broken Arrow, OK 74011 | 2016-05-02 |
| 1154789576 | Rebecca Young | Registered Nurse | 7801 S Oak Pl, Broken Arrow, OK 74011 | 2016-01-29 |
| 1942524061 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 751 W Tuscan St, 121st, Broken Arrow, OK 74011 | 2010-03-18 |
| 1174764336 | Linda J. Russell | Counselor | 2446 W New Orleans St, Broken Arrow, OK 74011 | 2009-03-18 |
| 1851409080 | Kim Lee Mcneal | Dentist | 3764 South Elm Place, Broken Arrow, OK 74011 | 2006-08-28 |
| 1669433249 | Matthew E Ozment | Optometrist | 2500 West New Orleans, Broken Arrow, OK 74011 | 2006-03-31 |
| 1912275140 | Courtney Brooke Willcoxon | Pharmacist | 4704 S Elm Pl, Broken Arrow, OK 74011 | 2011-12-02 |
| 1558322883 | Gerald Seefeldt | Family Medicine | 66 Cedar Ridge Rd, Broken Arrow, OK 74011-1101 | 2006-03-28 |
| Find all providers in zip 74011 | ||||
| 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 |
|---|---|---|---|---|
| 1710405162 | Be Still Counseling Services | Community/Behavioral Health | 405 E Decatur St, Broken Arrow, OK 74011-3576 | 2017-09-06 |
| 1174980312 | A Tranquil Journey Pllc | Community/Behavioral Health | 109 W South Park St, Broken Arrow, OK 74011-2630 | 2016-01-19 |
| 1467835405 | Stepping Stones Counseling Solutions, Pllc | Community/Behavioral Health | 1615 S Eucalyptus Ave Ste 205, Broken Arrow, OK 74012-5993 | 2015-07-08 |
| 1801211503 | Moments of Clarity, LLC | Community/Behavioral Health | 2604 W Kenosha St Ste 205, Broken Arrow, OK 74012-8955 | 2014-03-04 |
| 1497178891 | Let's Talk, LLC | Community/Behavioral Health | 2604 W. Kenosha, Ste. 217, Broken Arrow, OK 74012 | 2014-01-22 |
| 1760817977 | Luis Alfonse Jimenez Rincon | Community/Behavioral Health | 3501 S 1st St, Broken Arrow, OK 74012-7916 | 2013-09-06 |
| 1477898120 | Psychological Rehabilitation & Consulting, Inc. | Community/Behavioral Health | 4204 W Kent St, Broken Arrow, OK 74012-8754 | 2012-12-06 |
| 1184939183 | Brighter Outlook | Community/Behavioral Health | 25206 E 64th St S, Broken Arrow, OK 74014-2213 | 2010-08-13 |
| 1548462682 | Community Services of Eastern Oklahoma, Inc. | Community/Behavioral Health | 3104 S Elm Pl, Ste M, Broken Arrow, OK 74012-7949 | 2007-06-01 |
| 1760694301 | Family & Children's Services, Inc | Community/Behavioral Health | 3200 S Elm Pl, Ste 101, Broken Arrow, OK 74012-7908 | 2007-05-04 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74011 |
Please comment or provide details below to improve the information on CREOKS BEHAVIORAL HEALTH SERVICES.
| 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.