CORDELL LEWIS (NPI# 1730484098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730484098 |
| Entity Type | Individual |
| Full Name | CORDELL LEWIS |
| Credential | CM1 |
| Practice Address |
3621 N Kelley Ave Suite100 Oklahoma City OK 73111-4520 |
| Mailing Address |
9819 Skylark Rd Oklahoma City OK 73162-5661 |
| Practice Telephone | 4055245525 |
| Mailing Telephone | 4056215952 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 23106 | OK | Agencies |
| Street Address |
3621 N KELLEY AVE SUITE100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73111-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578690137 | Community Adolescent Rehabilitative Effort for Change Inc | Community/Behavioral Health | 3621 N Kelley Ave, Ste 100, Oklahoma City, OK 73111-4520 | 2007-02-28 |
| 1962009886 | Cecilia Monique Blackwell | Peer Specialist | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2020-10-04 |
| 1922664986 | Linda Marie Campbell | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2019-05-15 |
| 1518491380 | Trenell Carter | Counselor | 3621 N Kelley Ave, Ste 100, Oklahoma City, OK 73111-4520 | 2017-04-18 |
| 1972037802 | Detra Michele Morton | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2017-04-18 |
| 1750783577 | Myelia Gerald | Counselor | 3621 N Kelley Ave, Suit 100, Oklahoma City, OK 73111-4520 | 2014-09-24 |
| 1962814822 | Zolunda Greenwood | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-05-27 |
| 1093127409 | Zamora Williams | Counselor | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-05-20 |
| 1174943260 | Cassandra Pittmon | Case Manager/Care Coordinator | 3621 N Kelley Ave, Oklahoma City, OK 73111-4520 | 2014-04-16 |
| 1356769780 | Gary Lewis | Counselor | 3621 N Kelley Ave, Ste 100, Oklahoma City, OK 73111-4520 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689114779 | Brandi N Ridley | Counselor | 3621 N. Kelley Ave Ste. 100, Oklahoma City, OK 73111 | 2017-03-08 |
| 1790134708 | Raymond Arthur Smith Jr. | Counselor | 2329 Nw 111th, Oklahoma, OK 73111 | 2016-06-09 |
| 1124485263 | Oklahoma City County Health Department | Public Health or Welfare | 2700 Ne 63rd Street, Oklahoma City, OK 73111 | 2016-01-20 |
| 1528438710 | Brendel Lacey | Case Manager/Care Coordinator | 3017 N Martin Luther King Avenue, Oklahoma City, OK 73111 | 2015-09-30 |
| 1194108746 | Mary Margaret Mcmiller | Social Worker | 2700 Ne 63rd St, Oklahoma City, OK 73111 | 2015-07-01 |
| 1386037349 | Michelle Patrick | Counselor | 2525 Nw Expressway Suite 531, Building Up People Behavioral Health Service, Oklahoma, OK 73111 | 2015-03-13 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1033458070 | Mary Boyles | Case Manager/Care Coordinator | 1732 N Kelly, Oklahoma, OK 73111 | 2013-02-12 |
| 1427312164 | Sharonda Lavon Bowie | Counselor | 1328 Ne 53rd St, Oklahoma City, OK 73111 | 2012-06-27 |
| 1598029373 | Michael Brown | Counselor | 4413 Rock Island Circle, Oklahoma City, OK 73111 | 2012-06-27 |
| Find all providers in zip 73111 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758323 | Free Your Mind Counseling | Case Management | 10802 Quail Plaza Dr Ste 208, Oklahoma City, OK 73120-3121 | 2020-10-21 |
| 1619588134 | Coral LLC | Case Management | 12352 Market Dr, Oklahoma City, OK 73114-8136 | 2020-08-10 |
| 1871158048 | Rhiannon Ferguson | Case Management | 9711 Ne 2nd Pl, Oklahoma City, OK 73130-3509 | 2019-05-03 |
| 1659844892 | Kim Edwards | Case Management | 1600 Ne 8th St, Oklahoma City, OK 73117-2804 | 2019-01-10 |
| 1962997072 | Stephen Vaughn Johnson | Case Management | 5910 Nw 58th Steet, Oklahoma City, OK 73122 | 2018-06-30 |
| 1467977447 | Quinta Ajebekong Atem | Case Management | 2626 N Meridian Ave Apt 101, Oklahoma City, OK 73107-1004 | 2017-08-10 |
| 1730603010 | Rita Akubueze | Case Management | 4312 Nw 50th St Apt 222, Oklahoma City, OK 73112-2287 | 2017-07-28 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1811438799 | Terrance Green | Case Management | 3421 Nw 46th St, Oklahoma City, OK 73112-6101 | 2017-03-13 |
| 1336684950 | Maisha Ford | Case Management | 825 Ne 70th St, Oklahoma City, Oklahoma City, OK 73105-6009 | 2017-01-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73111 |
Please comment or provide details below to improve the information on CORDELL LEWIS.
| 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.