JOAN M BROCK (NPI# 1508086711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508086711 |
Entity Type | Individual |
Full Name | JOAN M BROCK |
Credential | LPC |
Practice Address |
231 E Graham Ave Pryor OK 74361-2436 |
Practice Telephone | 9188251405 |
Practice Fax Number | 9188251406 |
Mailing Telephone | 9188251405 |
Mailing Fax Number | 9188251406 |
Enumeration Date | 2007-04-27 |
Last Update Date | 2011-08-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
2508 | OK | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417959305 | Joan Brock | Physical Therapist | 1801 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2005-08-11 |
Street Address |
231 E GRAHAM AVE |
City | PRYOR |
State | OK |
Zip Code | 74361-2436 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073020897 | Teddy Allen Pennypacker | Registered Nurse | 231 E Graham Ave, Pryor, OK 74361-2436 | 2018-01-02 |
1770099434 | Jennifer Deckard | Peer Specialist | 231 E Graham Ave, Pryor, OK 74361-2436 | 2017-12-18 |
1487169140 | Sarah Jackson | Registered Nurse | 231 E Graham Ave, Pryor, OK 74361-2436 | 2017-12-04 |
1427562420 | Mikala Sue Compton | Peer Specialist | 231 E Graham Ave, Pryor, OK 74361-2436 | 2017-11-29 |
1073026654 | Hilary Nicole Admire | Case Manager/Care Coordinator | 231 E Graham Ave, Pryor, OK 74361-2436 | 2017-11-06 |
1023520079 | Tracy Pruitt | Case Manager/Care Coordinator | 231 E Graham Ave, Pryor, OK 74361-2436 | 2017-10-31 |
1619489820 | Gladys Dennise Trombley | Registered Nurse | 231 E Graham Ave, Pryor, OK 74361-2436 | 2017-10-27 |
1780195883 | Brandi Jo Greeno | Peer Specialist | 231 E Graham Ave, Pryor, OK 74361-2436 | 2017-10-16 |
1407367501 | Nickia Renee Barbee | Peer Specialist | 231 E Graham Ave, Pryor, OK 74361-2436 | 2017-10-16 |
1912417460 | Donald Denver Hudson | Peer Specialist | 231 E Graham Ave, Pryor, OK 74361-2436 | 2017-10-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
Find all providers in zip 74361 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
1386813988 | Annie Gay King | Counselor | 210 S Mayes St, Pryor, OK 74361-3228 | 2008-02-27 |
1740400936 | Sharon L Sutton | Counselor | 231 East Graham, Pryor, OK 74361 | 2007-04-27 |
1295862993 | Amy Beth Silas | Counselor | 729 N 427, Pryor, OK 74361-8337 | 2007-02-28 |
1679009104 | Yco Tulsa, Inc | Counselor | 447 S Wood St, Pryor, OK 74361-6043 | 2017-05-03 |
1427429935 | Dustie Morgan | Counselor | 109 N Fairland St, Pryor, OK 74361-4205 | 2015-10-09 |
1710376421 | Melissa Pitts Johnson | Counselor | 231 E Graham Ave, Pryor, OK 74361-2436 | 2015-01-19 |
1518299247 | Donita Jo Smith | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437758224 | Taylor Christine Clinton | Counselor | 3838 Nw 36th St Ste 300, Oklahoma City, OK 73112-2970 | 2020-10-22 |
1093328346 | Kathryn Glover Bishop | Counselor | 5921 E 97th St, Tulsa, OK 74137-5011 | 2020-08-26 |
1528670239 | Grand Lake Therapeutics LLC | Counselor | 1441 Lakeside Dr, Grove, OK 74344-4223 | 2020-08-24 |
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 |
1841801321 | Yolanda Cummings Counseling, Inc. | Counselor | 24900 County Road 1512, Ada, OK 74820-0994 | 2020-08-10 |
1518585595 | Twelfth House Wellness LLC | Counselor | 1929 Nw 29th St, Oklahoma City, OK 73106-1019 | 2020-07-07 |
1396369286 | Advocate for Mental Health Services LLC | Counselor | 1300 Mcgee Dr Ste 103, Norman, OK 73072-5858 | 2020-06-05 |
1639791221 | Santa Gladys Velez | Counselor | 1215 Crossroads Blvd Ste 212, Norman, OK 73072-3391 | 2020-05-18 |
1801415898 | Powerful Design Consulting, LLC | Counselor | 122 E Woodcraft Rd, Bennington, OK 74723-1833 | 2020-04-10 |
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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.