KIMBERLEY LEE COOK-VAUGHN (NPI# 1699092809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699092809 |
| Entity Type | Individual |
| Full Name | KIMBERLEY LEE COOK-VAUGHN |
| Credential | LADC #624 |
| Practice Address |
2511 S Muskogee Ave Tahlequah OK 74464-5459 |
| Practice Telephone | 9184310634 |
| Practice Fax Number | 9184310654 |
| Mailing Telephone | 9184310634 |
| Mailing Fax Number | 9184310654 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2015-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 624 | OK | Behavioral Health & Social Service Providers |
| Street Address |
2511 S MUSKOGEE AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-5459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033443296 | Redefine U | Community/Behavioral Health | 2511 S Muskogee Ave, Tahlequah, OK 74464-5459 | 2009-09-21 |
| 1508183526 | Jackie Steele | Social Worker | 2511 S Muskogee Ave, Tahlequah, OK 74464-5459 | 2010-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| 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 |
|---|---|---|---|---|
| 1417340647 | Mark Throckmorton | Counselor | 701 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2015-03-12 |
| 1558762534 | Keri Ross | Counselor | 428 N Ash Ave, Tahlequah, OK 74464-2902 | 2014-09-10 |
| 1811316003 | Holistic Therapies LLC | Counselor | 18950 S 525 Rd, Tahlequah, OK 74464-0519 | 2014-04-15 |
| 1689912560 | Karla Leblanc | Counselor | 108 S Muskogee Ave Ste 203, Tahlequah, OK 74464-3818 | 2013-01-28 |
| 1194075267 | Shannon Dawson | Counselor | 205 S J.t Stites, Tahlequah, OK 74464-2915 | 2012-09-14 |
| 1629340203 | Jennifer O'daniel | Counselor | 1595 Aspen Dr, Tahlequah, OK 74464-6009 | 2012-01-30 |
| 1750653457 | Kellie Christine Brown | Counselor | 643 Green Country Dr, Tahlequah, OK 74464-6002 | 2012-01-27 |
| 1710258074 | Charlotte Marie Parker | Counselor | 14041 N Britton Rd, Tahlequah, OK 74464-5062 | 2012-01-18 |
| 1558632059 | Gayla Burgess Anderson | Counselor | 822 S Muskogee Ave, Tahlequah, OK 74464-4720 | 2012-01-16 |
| 1336410943 | Lindsey Beth Amason | Counselor | 17882 W Grandview Rd, Tahlequah, OK 74464-1013 | 2012-01-13 |
| Find all providers in TAHLEQUAH | ||||
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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.