GRAND LAKE MENTAL HEALTH CENTER, INC. (NPI# 1598305211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598305211 |
| Entity Type | Organization |
| Organization Name | GRAND LAKE MENTAL HEALTH CENTER, INC. |
| Practice Address |
124 E 6th St Pawhuska OK 74056-4204 |
| Mailing Address |
114 W Delaware Ave Nowata OK 74048-2601 |
| Practice Telephone | 9186046054 |
| Mailing Telephone | 9182731841 |
| Mailing Fax Number | 9182731843 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | CHARLES DANLEY (CEO) |
| Authorized Official Telephone | 9182731841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Grand Lake Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531344 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 3186 W Highway 412, West Siloam Springs, OK 74338-1356 | 2020-02-25 |
| 1760022602 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 1010 Harbor Rd, Grove, OK 74344-5147 | 2020-01-08 |
| 1932749876 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 211 N Hwy 10 Ste D, Kansas, OK 74347-0000 | 2020-01-08 |
| 1487201133 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 7307 S Yale Ave, Suite 101, Tulsa, OK 74136-7134 | 2019-08-19 |
| 1114458858 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 211 N. Hwy 59 Ste A and B, Kansas, OK 74347-7607 | 2017-03-24 |
| 1598216087 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 1010 Harber Rd, Grove, OK 74344-5147 | 2016-10-19 |
| 1003292061 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 1370 Se Washington Blvd, Bartlesville, OK 74006-4519 | 2015-07-31 |
| 1114269917 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 9432 N. May Ave, Suite D, Oklahoma City, OK 73120-2723 | 2013-03-20 |
| 1104167204 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 9430 N May Ave, Oklahoma City, OK 73120-2712 | 2013-03-14 |
| 1922017060 | Grand Lake Mental Health Center, Inc. | Case Management | 513 S Quapaw Ave, Bartlesville, OK 74003-4331 | 2006-08-07 |
| Street Address |
124 E 6TH ST |
| City | PAWHUSKA |
| State | OK |
| Zip Code | 74056-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202438 | Scott Alexander Blackburn | Counselor | 124 E 6th St, Pawhuska, OK 74056-4204 | 2020-10-15 |
| 1366060972 | Erin Mclaughlin | Social Worker | 124 E 6th St, Pawhuska, OK 74056-4204 | 2020-07-09 |
| 1457993834 | Grand Lake Mental Health Center Inc | Clinic/Center | 124 E 6th St, Pawhuska, OK 74056-4204 | 2019-10-17 |
| 1780133207 | Laurie Abrams | Social Worker | 124 E 6th St, Pawhuska, OK 74056-4204 | 2016-09-26 |
| 1275884256 | Kathy Jo Graham | Case Manager/Care Coordinator | 124 E 6th St, Pawhuska, OK 74056-4204 | 2012-10-01 |
| 1033499546 | Michelle Ann Miller | Case Manager/Care Coordinator | 124 E 6th St, Pawhuska, OK 74056-4204 | 2011-08-29 |
| 1922396332 | Cindy Kay Javellas | Case Manager/Care Coordinator | 124 E 6th St, Pawhuska, OK 74056-4204 | 2011-07-19 |
| 1689989998 | Amy Suzanne Jones | Case Manager/Care Coordinator | 124 E 6th St, Pawhuska, OK 74056-4204 | 2010-08-11 |
| 1285963553 | Jennifer Wynn Pelkey | Case Manager/Care Coordinator | 124 E 6th St, Pawhuska, OK 74056-4204 | 2009-12-16 |
| 1063655058 | Electa Leigh Hare | Social Worker | 124 E 6th St, Pawhuska, OK 74056-4204 | 2009-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033765227 | Heather N Barkley | Case Manager/Care Coordinator | 1616 Mckenzie Road, Pawhuska, OK 74056 | 2019-08-13 |
| 1871092494 | Pawhuska Hospital Inc | Clinic/Center | 1109 E 15th St, Pawhuska, OK 74056 | 2018-02-09 |
| 1043618572 | Dagenais & Associates Medical Clinic, LLC | Physician Assistant | 137 East Main, Pawhuska, OK 74056 | 2014-12-16 |
| 1659615904 | Osage Nation | Community/Behavioral Health | 126 6th Street, Pawhuska, OK 74056 | 2012-11-26 |
| 1366707481 | Louis G Gray I | Counselor | 1011 Grandview, Pawhuska, OK 74056 | 2012-07-05 |
| 1205096427 | Eric A Amberson | Emergency Medicine | 230 E. 5th Street, Pawhuska, OK 74056 | 2008-06-11 |
| 1407030356 | Angels Health Care Clinic Inc | Clinic/Center | 47922 St Hwy 99, Pawhuska, OK 74056 | 2007-12-27 |
| 1871795740 | Help Works, Inc | Day Training, Developmentally Disabled Services | 219 Lincoln, Pawhuska, OK 74056 | 2007-06-04 |
| 1639205628 | William Franklin Pendley | Counselor | Edwin Fair Cmhc 515 Old Hyw 99, Pawhuska, OK 74056 | 2007-02-26 |
| 1265591416 | Gemini Medical Group | Family Medicine | 701 Leahy, Pawhuska, OK 74056 | 2006-12-06 |
| Find all providers in zip 74056 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993834 | Grand Lake Mental Health Center Inc | Clinic/Center | 124 E 6th St, Pawhuska, OK 74056-4204 | 2019-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
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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.