DEREK MORRIS (NPI# 1457783573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457783573 |
| Entity Type | Individual |
| Full Name | DEREK MORRIS |
| Practice Address |
3111b N. Broadway St. Box 34 Poteau OK 74953 |
| Mailing Address |
23370 Cannery Rd Spiro OK 74959-3796 |
| Practice Telephone | 9186472262 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487851416 | Derek R Morris | Dentist | 500 S Highway 19, Palatka, FL 32177-3943 | 2007-07-02 |
| 1508965633 | Derek Matthew Morris | Pharmacist | 505 Martin Street, Pell City, AL 35125 | 2006-09-22 |
| 1528629417 | Derek Morris | Optometrist | 10500 Ulmerton Rd Ste 278, Largo, FL 33771-3537 | 2019-06-22 |
| 1487027173 | Derek Morris | Physical Therapist | 733 Volvo Pkwy Ste 300, Chesapeake, VA 23320-1610 | 2015-11-04 |
| Street Address |
3111B N. BROADWAY ST. BOX 34 |
| City | POTEAU |
| State | OK |
| Zip Code | 74953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| 1881980985 | Hometown Drug Company LLC | Clinic/Center | 307 North Broadway St, Poteau, OK 74953 | 2011-06-27 |
| Find all providers in zip 74953 | ||||
| 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 |
|---|---|---|---|---|
| 1881200558 | Nichole Rae Krausch | Counselor | 1507 S Mckenna St, Poteau, OK 74953-5207 | 2020-09-18 |
| 1285094979 | Kelli Thompson | Counselor | 203 Woodbine Ave, Poteau, OK 74953-2263 | 2016-02-24 |
| 1760894513 | Kristina Skinner | Counselor | 107 Polk Creek St, Poteau, OK 74953-5479 | 2014-05-28 |
| 1962835892 | Jeremiah Bilyeu Maxwell | Counselor | 106 Wapiti, Poteau, OK 74953-8404 | 2013-08-14 |
| 1750720140 | Sarah Nicole Keen | Counselor | 2706 N Broadway St, Poteau, OK 74953-5402 | 2013-06-18 |
| 1821348301 | Nathan Billy | Counselor | 16445 Midway Dr, Poteau, OK 74953-7414 | 2012-09-12 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| 1578852208 | Kathy Lynn Davies | Counselor | 2104-a N Broadway St, Poteau, OK 74953-2617 | 2011-04-04 |
| 1508183609 | Christi Taylor | Counselor | 3111b N Broadway, Poteau, OK 74953 | 2010-04-28 |
| 1902039480 | Edwin Woolly | Counselor | 2210 N Broadway St, Bldg B, Poteau, OK 74953-2000 | 2009-08-31 |
| Find all providers in POTEAU | ||||
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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.