MS. PATRICIA RE'NA MATEN (NPI# 1699108886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699108886 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA RE'NA MATEN |
| Practice Address |
8624 Ne 33rd St Spencer OK 73084-3253 |
| Practice Telephone | 4055561038 |
| Mailing Telephone | 4055561038 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | J082439816 | OK | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | J082439816 | OK | Behavioral Health & Social Service Providers |
| Street Address |
8624 NE 33RD ST |
| City | SPENCER |
| State | OK |
| Zip Code | 73084-3253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728070 | Tracy Smith | Social Worker | 8507 Ne 47th Street, Spencer, OK 73084 | 2017-02-07 |
| 1316484751 | Marcus Alexander | Case Manager/Care Coordinator | 8226 Ne 26 St, Spencer, OK 73084 | 2017-01-24 |
| 1538589957 | Marcy Thornton | Counselor | #5 Rock N Horse, Spencer, OK 73084 | 2014-04-24 |
| 1710313457 | Janice Kemp | Counselor | 8717 Ne 47th, Spencer, OK 73084 | 2013-09-25 |
| 1629402367 | Robert Benard Smith II | Behavioral Analyst | 8900 Ne 51 St, Spencer, OK 73084 | 2013-08-29 |
| 1508201765 | Marlon T James | Counselor | 3711 Red Bud Dr, Spencer, OK 73084 | 2013-05-01 |
| 1144580341 | Krishaun Jackson | Counselor | 10901 N.e 59th St., Spencer, OK 73084 | 2012-05-22 |
| 1326317074 | Jamie Tyrell Thompson | Behavioral Analyst | 7924 Glory Road, Spencer, OK 73084 | 2011-12-27 |
| 1770860793 | Wendy Jones | Counselor | 8904 N.e 45th St., Spencer, OK 73084 | 2011-11-04 |
| 1114258605 | Florence Yvonne Alexander | Counselor | 12724 Ne 38th, Spencer, OK 73084 | 2010-01-22 |
| Find all providers in zip 73084 | ||||
| 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 |
|---|---|---|---|---|
| 1164985974 | Jennifer Thomas | Counselor | 8917 Cecile Pl, Spencer, OK 73084-3529 | 2019-04-09 |
| 1629434238 | Sharane Olds | Counselor | 3554 Spencer Rd, Spencer, OK 73084-3237 | 2016-01-12 |
| 1144642372 | Linda Jacobs | Counselor | 8913 Cecile Pl, Spencer, OK 73084-3529 | 2014-01-07 |
| 1710313457 | Janice Kemp | Counselor | 8717 Ne 47th, Spencer, OK 73084 | 2013-09-25 |
| 1629314380 | Kayla S Frost | Counselor | 12629 Ne 38th St, Spencer, OK 73084-9156 | 2012-12-27 |
| 1871847269 | Sheryle Portis | Counselor | 2808 Zachary Pl, Spencer, OK 73084-3500 | 2012-11-06 |
| 1144580341 | Krishaun Jackson | Counselor | 10901 N.e 59th St., Spencer, OK 73084 | 2012-05-22 |
| 1477813020 | Deitra Ann Woody | Counselor | 10920 Ne 52nd St, Spencer, OK 73084-5217 | 2012-05-16 |
| 1972862985 | Quanton D Ware | Counselor | 8321 Ne 33rd St, Spencer, OK 73084-3103 | 2012-05-10 |
| 1275804254 | Ann S Mcpherson | Counselor | 9315 Ne 45th St, Spencer, OK 73084-2505 | 2012-01-23 |
| Find all providers in SPENCER | ||||
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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.