CRYSTAL DOUGLAS


Address: 2502 Crossroads Dr, Ardmore, OK 73401-2503
Phone: 5802264800

CRYSTAL DOUGLAS (NPI# 1710204417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710204417
Entity Type Individual
Full Name CRYSTAL DOUGLAS
Credential BHRS
Practice Address 2502 Crossroads Dr
Ardmore
OK 73401-2503
Practice Telephone 5802264800
Mailing Telephone 5802264800
Enumeration Date 2010-04-21
Last Update Date 2012-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers CRYSTAL DOUGLAS

NPI Name Taxonomy Address Enumeration
1497238869 Crystal Joan Douglas Nurse Practitioner 9006 N Navarro St, Victoria, TX 77904-1565 2018-09-12
1508346073 Crystal L Douglas Occupational Therapist 2986 Roundtree Blvd, Ypsilanti, MI 48197-4811 2018-08-15
1275819880 Crystal Douglas Counselor 615 Piikoi St, # 203, Honolulu, HI 96814-3116 2011-10-26

Office Location

Street Address 2502 CROSSROADS DR
City ARDMORE
State OK
Zip Code 73401-2503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619182912 Kristi Crutchfield Cox Counselor 2502 Crossroads Dr, Ardmore, OK 73401-2503 2007-05-11
1508361874 Brandi Hicks Case Manager/Care Coordinator 2502 Crossroads Dr, Ardmore, OK 73401-2503 2018-03-28
1043713027 Kathy Hawkins Registered Nurse 2502 Crossroads Dr, Ardmore, OK 73401-2503 2018-03-15
1437431707 Christopher Woods Behavioral Analyst 2502 Crossroads Dr, Suite B, Ardmore, OK 73401-2503 2011-09-13
1043590011 Daquon C Anderson Behavioral Analyst 2502 Crossroads Dr, Suite B, Ardmore, OK 73401-2503 2011-08-23
1699061044 Kenna R Owens Counselor 2502 Crossroads Dr, Ardmore, OK 73401-2503 2011-06-23
1508150350 Polly Wilson Counselor 2502 Crossroads Dr, B, Ardmore, OK 73401-2503 2011-06-08
1679867311 Leland D Jones Behavioral Analyst 2502 Crossroads Dr, Suite B, Ardmore, OK 73401-2503 2011-05-28
1386936136 Jason E Clements Behavioral Analyst 2502 Crossroads Dr, Suite B, Ardmore, OK 73401-2503 2011-05-12
1013209857 Ronald G Morris Jr. Behavioral Analyst 2502 Crossroads Dr, Suite B, Ardmore, OK 73401-2503 2011-05-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497391452 Abbie Deeann Mclemore Nurse Practitioner 915 10th Ave, Ardmore, OK 73401 2019-11-25
1790349991 Shirley Denise Brown Licensed Psychiatric Technician 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 2019-04-24
1427512359 Billy Joe Oshields Case Manager/Care Coordinator 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 2019-01-24
1174007595 Tawnya Dawn Peery Nurse Practitioner 1108 W. Walnut Drive, Ardmore, OK 73401 2018-09-21
1679055016 Teresa Marie Hernandez Behavior Technician 1219 K St. Nw, Ardmore, OK 73401 2018-09-01
1063991974 Sawyer Rae Shamburger Occupational Therapy Assistant 208 North Praire St, Pilot Point, TX 73401 2018-08-10
1417473521 Chelsye Bacon Peer Specialist 905 Holiday Drive, Ardmore, OK 73401 2017-08-21
1003279746 Jeni Presley Marriage & Family Therapist Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 2016-03-31
1982080909 Alison Hill Pharmacist 1111 N. Commerce, Ardmore, OK 73401 2015-07-31
1316346547 Olivia Larae Carrell Counselor 15 Monroe Street Ne, Ardmore, OK 73401 2014-08-13
Find all providers in zip 73401

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215594486 Tammey Lee Cooper Case Manager/Care Coordinator 98 Broadlawn Shopping Ctr, Ardmore, OK 73401-1723 2019-05-23
1801459243 Z Hubbard Case Manager/Care Coordinator 1219 K St Nw Ste 2, Ardmore, OK 73401-1801 2019-04-22
1427512359 Billy Joe Oshields Case Manager/Care Coordinator 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 2019-01-24
1356722094 Fran Growall Case Manager/Care Coordinator 3367 Plainview Rd, Ardmore, OK 73401-0714 2015-06-17
1730570094 Ashley Nicole Avery Case Manager/Care Coordinator 1310 Summer Rd, Ardmore, OK 73401-8352 2015-02-09
1316351505 Cassie Ramsey Case Manager/Care Coordinator 110 Ruidosa St, Ardmore, OK 73401-7231 2014-06-16
1831519339 Brandii Houchin Case Manager/Care Coordinator 114 Allen Dr, Ardmore, OK 73401-2008 2014-04-23
1225459506 Audra M Gordon Case Manager/Care Coordinator 511 Lake Murray Drive E., Ardmore, OK 73401 2014-01-03
1578809570 Glenda Brown Case Manager/Care Coordinator 1301 Kiowa Nw, Ardmore, OK 73401 2012-12-19
1912236852 Zona Whitewater Case Manager/Care Coordinator 2530 So. Commerce, Bldg. B, Ardmore, OK 73402 2009-12-23
Find all providers in ARDMORE

Competitor

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City ARDMORE
Zip Code 73401

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Dataset Information

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.

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