CREOKS BEHAVIORAL HEALTH SERVICES (NPI# 1609164490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609164490 |
| Entity Type | Organization |
| Organization Name | CREOKS BEHAVIORAL HEALTH SERVICES |
| Practice Address |
1803 S Wood Dr Okmulgee OK 74447-6825 |
| Practice Telephone | 9187569250 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |
| Authorized Official Name | JOE SADDORIS (SITE DIRECTOR) |
| Authorized Official Telephone | 9187569250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 559 | OK | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194152843 | Creoks Behavioral Health Services | Case Management | 608 S Wilson Ave, Okmulgee, OK 74447-6139 | 2013-09-26 |
| 1619312188 | Creoks Behavioral Health Services | Community/Behavioral Health | 1059 E 60th St, # 222, Tulsa, OK 74105-8331 | 2013-05-09 |
| 1427311687 | Creoks Behavioral Health Services | Community/Behavioral Health | 426 W Los Angeles Pl, Broken Arrow, OK 74011-4835 | 2012-06-21 |
| 1487867263 | Creoks Behavioral Health Services | Community/Behavioral Health | 2455 N Boston Pl, Tulsa, OK 74106-3610 | 2007-05-08 |
| 1447812029 | Creoks Behavioral Health Services | Clinic/Center | 1500 N 6th St, Ponca City, OK 74601-2827 | 2019-07-03 |
| 1558815936 | Creoks Behavioral Health Services | Case Management | 4636 S Harvard Ave, Tulsa, OK 74135-2908 | 2016-08-15 |
| 1912327107 | Creoks Behavioral Health Services | Case Management | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2014-04-26 |
| 1821257940 | Creoks Behavioral Health Services | Case Management | 209 W Broadway St, Okemah, OK 74859-2618 | 2008-06-04 |
| 1841479110 | Creoks Behavioral Health Services | Counselor | 209 W Broadway St, Okemah, OK 74859-2618 | 2007-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CREOKS BEHAVIORAL HEALTH SERVICES | 4103 S Yale Ave Ste B, Tulsa, OK 74135-6002 |
| Street Address |
1803 S WOOD DR |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-6825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316080047 | Cristi Lynn Woodard | Counselor | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2007-02-14 |
| 1134732613 | Kylia Byassee | Peer Specialist | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2020-08-25 |
| 1639794852 | Leeann Debra Houser | Case Manager/Care Coordinator | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2020-06-12 |
| 1083248413 | Christa N Johnson | Case Manager/Care Coordinator | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2020-02-25 |
| 1568001766 | Marilyn Daniel | Counselor | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2020-01-06 |
| 1730728726 | Thomas Parsons | Case Manager/Care Coordinator | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2019-12-23 |
| 1497390306 | Krista Charbonneau | Case Manager/Care Coordinator | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2019-11-14 |
| 1124673736 | Lawanda Manous | Case Manager/Care Coordinator | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2019-08-09 |
| 1508423963 | Kayla Ann Holland | Counselor | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2019-05-21 |
| 1437715190 | Daqwn E Quesenbury | Counselor | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2019-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644412 | Shantel Farrow | Community/Behavioral Health | 114 N Grand Ave Ste 212, Okmulgee, OK 74447-4030 | 2018-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1427656909 | Against All Odds Youth and Family Services | Community/Behavioral Health | 2701 Nw 185th St, Edmond, OK 73012-9795 | 2020-10-15 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1477170322 | Glostars LLC | Community/Behavioral Health | 19704 Vivace Dr, Edmond, OK 73012-5232 | 2020-06-26 |
| 1780201798 | Canadian County Collaborative LLC | Community/Behavioral Health | 1703 Professional Cir Ste 201, Yukon, OK 73099-6498 | 2020-06-26 |
| 1235754458 | New Life Counseling Center | Community/Behavioral Health | 1206 N Hwy 81, Duncan, OK 73533-1790 | 2020-06-12 |
| 1770108946 | Meadow Hazelhoff Counseling, LLC | Community/Behavioral Health | 9524 Conners Way, Mcloud, OK 74851-8668 | 2020-06-12 |
| 1407477920 | Keetoowah Economic Development | Community/Behavioral Health | 16414 W 760 Rd, Tahlequah, OK 74464-1675 | 2020-05-06 |
| 1992336481 | Share More Ctc, LLC | Community/Behavioral Health | 2000 N Broadway St Ste B, Moore, OK 73160-4416 | 2020-02-03 |
| 1356981138 | Grand Lake Mental Health Center Inc | Community/Behavioral Health | 2225 N Union, Ponca City, OK 74601-1536 | 2020-01-09 |
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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.