ANTHONY JEROME GILLIAM


Address: 2424 N Key Blvd, Midwest City, OK 73110-4662
Phone: 4054131555

ANTHONY JEROME GILLIAM (NPI# 1437573672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437573672
Entity Type Individual
Full Name ANTHONY JEROME GILLIAM
Practice Address 2424 N Key Blvd
Midwest City
OK 73110-4662
Mailing Address Po Box 15722
Oklahoma City
OK 73155-5722
Practice Telephone 4054131555
Mailing Telephone 4054131555
Enumeration Date 2014-02-07
Last Update Date 2014-02-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor J081668277 OK Behavioral Health & Social Service Providers
N 104100000X Social Worker J081668277 OK Behavioral Health & Social Service Providers

Office Location

Street Address 2424 N KEY BLVD
City MIDWEST CITY
State OK
Zip Code 73110-4662

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710301957 Franki Lynn Sebock Counselor 2424 N Key Blvd, Midwest City, OK 73110-4662 2014-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255939377 Torry E Elston Technician/Technologist 5908 Se 15th St, Midwest City, OK 73110 2020-10-12
1083225783 Daniel B Nguyen Pharmacist 1601 S Air Depot, Midwest City, OK 73110 2020-08-14
1114494903 Tiandrea Jeanae Neal Behavioral Analyst 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 2018-10-30
1467902593 Brian Christopher Lewis Case Manager/Care Coordinator 8616 Cedar Ridge Drive, Midwest City, OK 73110 2016-10-13
1669839312 National Iom, Pllc Electrodiagnostic Medicine 1205 S. Air Depot # 102, Midwest City, OK 73110 2016-01-26
1003292210 Alexandrea Funston Speech-Language Pathologist 224 E Blossom Drive, Midwest City, OK 73110 2015-08-11
1184053399 Ronya Caraway Community/Behavioral Health 7901 Ne 10th, B106, Midwest City, OK 73110 2013-11-07
1245678374 Layfette Lamar Fletcher Counselor 405 Delia Street, Midwest City, OK 73110 2013-06-11
1114364163 Kathryn Ann Gray Social Worker 1391 North Midwest Blvd., Midwest City, OK 73110 2013-05-31
1841542545 Steven Atkins Akinnfest Counselor 417 Reed Place, Midwest City, OK 73110 2012-10-05
Find all providers in zip 73110

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467068098 Mckenzie Mcguffee Counselor 717 Briarcrest Dr, Midwest City, OK 73110-1619 2020-09-18
1457883662 Melissa Lynn Russell Counselor 808 Hunters Run, Midwest City, OK 73130-4528 2017-03-28
1629427612 Tiffney Simmons Counselor 8818 Ne 13th St, Midwest City, OK 73110-7120 2016-06-09
1639536212 Jenell Mapp Counselor 1716 S Willow Wind Dr, Midwest City, OK 73130-6511 2016-01-27
1831564251 Traci Johnson Counselor 8811 Fairfield Greens Dr, Midwest City, OK 73110-8015 2015-12-10
1396115788 Ramona Nicholson Counselor 10525 Quail Run Rd, Midwest City, OK 73130-7039 2015-09-29
1619346103 Heather Kelpine Counselor 9677 Oak Tree Ter, Midwest City, OK 73130-3537 2015-09-15
1164842084 Willard Frazier Jr. Counselor 4406 N Shadybrook Dr, Midwest City, OK 73110-3437 2014-04-17
1467877019 Megan Leigh Kilmer Counselor 1800 Rulane Dr, Midwest City, OK 73110-2561 2014-02-19
1326460429 David Jones Sr. Counselor 515 E Indian Dr, Midwest City, OK 73110-5820 2014-01-09
Find all providers in MIDWEST CITY

Competitor

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City MIDWEST CITY
Zip Code 73110

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Dataset Information

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.

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