MR. RICHARD LEE MUMFORD JR. (NPI# 1528384641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528384641 |
| Entity Type | Individual |
| Full Name | MR. RICHARD LEE MUMFORD JR. |
| Credential | MPH |
| Practice Address |
3621 N Kelley Ave Suite 100 Oklahoma City OK 73111-4520 |
| Practice Telephone | 4055245525 |
| Practice Fax Number | 4055245528 |
| Mailing Telephone | 4055245525 |
| Mailing Fax Number | 4055245528 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1578690137 | OK | Behavioral Health & Social Service Providers |
| Street Address |
3621 N KELLEY AVE SUITE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73111-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578690137 | Community Adolescent Rehabilitative Effort for Change Inc | Community/Behavioral Health | 3621 N Kelley Ave, Ste 100, Oklahoma City, OK 73111-4520 | 2007-02-28 |
| 1962009886 | Cecilia Monique Blackwell | Peer Specialist | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2020-10-04 |
| 1922664986 | Linda Marie Campbell | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2019-05-15 |
| 1518491380 | Trenell Carter | Counselor | 3621 N Kelley Ave, Ste 100, Oklahoma City, OK 73111-4520 | 2017-04-18 |
| 1972037802 | Detra Michele Morton | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2017-04-18 |
| 1750783577 | Myelia Gerald | Counselor | 3621 N Kelley Ave, Suit 100, Oklahoma City, OK 73111-4520 | 2014-09-24 |
| 1962814822 | Zolunda Greenwood | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-05-27 |
| 1093127409 | Zamora Williams | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-05-20 |
| 1174943260 | Cassandra Pittmon | Case Manager/Care Coordinator | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-04-16 |
| 1356769780 | Gary Lewis | Counselor | 3621 N Kelley Ave, Ste 100, Oklahoma City, OK 73111-4520 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689114779 | Brandi N Ridley | Counselor | 3621 N. Kelley Ave Ste. 100, Oklahoma City, OK 73111 | 2017-03-08 |
| 1790134708 | Raymond Arthur Smith Jr. | Counselor | 2329 Nw 111th, Oklahoma, OK 73111 | 2016-06-09 |
| 1124485263 | Oklahoma City County Health Department | Public Health or Welfare | 2700 Ne 63rd Street, Oklahoma City, OK 73111 | 2016-01-20 |
| 1528438710 | Brendel Lacey | Case Manager/Care Coordinator | 3017 N Martin Luther King Avenue, Oklahoma City, OK 73111 | 2015-09-30 |
| 1194108746 | Mary Margaret Mcmiller | Social Worker | 2700 Ne 63rd St, Oklahoma City, OK 73111 | 2015-07-01 |
| 1386037349 | Michelle Patrick | Counselor | 2525 Nw Expressway Suite 531, Building Up People Behavioral Health Service, Oklahoma, OK 73111 | 2015-03-13 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1033458070 | Mary Boyles | Case Manager/Care Coordinator | 1732 N Kelly, Oklahoma, OK 73111 | 2013-02-12 |
| 1427312164 | Sharonda Lavon Bowie | Counselor | 1328 Ne 53rd St, Oklahoma City, OK 73111 | 2012-06-27 |
| 1598029373 | Michael Brown | Counselor | 4413 Rock Island Circle, Oklahoma City, OK 73111 | 2012-06-27 |
| Find all providers in zip 73111 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1760021984 | Damilola Mosebolatan Akintola | Counselor | 5013 Oak Manor Dr, Oklahoma City, OK 73135-2235 | 2020-01-06 |
| 1376185934 | Kevin Pierson | Counselor | 8536 N Lindsay Ave, Oklahoma City, OK 73114-0801 | 2019-10-15 |
| 1922651249 | Timothy Aaron Vick | Counselor | 5101 Nw 26th St, Oklahoma City, OK 73127-1723 | 2019-07-17 |
| 1093378218 | Crentha S Turner | Counselor | 11227 Nile Ave, Oklahoma City, OK 73114-7071 | 2019-04-15 |
| 1720564933 | Dawn Lea Long Counseling LLC | Counselor | 5350 S Western Ave Ste 211, Oklahoma City, OK 73109-4525 | 2018-07-11 |
| 1902395494 | Tisha Lee Rodriguez | Counselor | 4001 N Classen Blvd Ste 105, Oklahoma City, OK 73118-2668 | 2018-05-09 |
| 1306349378 | Charlene Hester | Counselor | 1000 Sw 44th St Ste 200, Oklahoma City, OK 73109-3629 | 2018-03-15 |
| 1114425121 | Jacob Ian Arnold | Counselor | 521 N Council Rd Apt G, Oklahoma City, OK 73127-4971 | 2018-01-24 |
| 1225546534 | Christopher Dewayne Grant | Counselor | 807 Ne 21st St, Oklahoma City, OK 73105-8213 | 2018-01-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73111 |
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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.