SEQUELCARE OF OKLAHOMA, LLC (NPI# 1740344290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740344290 |
| Entity Type | Organization |
| Organization Name | SEQUELCARE OF OKLAHOMA, LLC |
| Practice Address |
411 S Central Ave Idabel OK 74745-6059 |
| Mailing Address |
Po Box 1030 Antlers OK 74523-1030 |
| Practice Telephone | 5802865721 |
| Mailing Telephone | 5802982830 |
| Mailing Fax Number | 5802986723 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2012-12-31 |
| Authorized Official Name | DOROTHY METCALF (EXEC DIR) |
| Authorized Official Telephone | 5802982830 |
| Authorized Official Credential | MSW, LCSW, LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100744370N | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1518021286 | Sequelcare of Oklahoma, LLC | Clinic/Center | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-20 |
| 1861556342 | Sequelcare of Oklahoma, LLC | Clinic/Center | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-20 |
| 1720142532 | Sequelcare of Oklahoma, LLC | Case Management | 100 N Broadway St, Broken Bow, OK 74728-3934 | 2006-12-19 |
| 1801058680 | Sequelcare of Oklahoma, LLC | Community/Behavioral Health | 103 N 3rd Ave, Durant, OK 74701-4700 | 2008-07-02 |
| 1073775854 | Sequelcare of Oklahoma, LLC | Community/Behavioral Health | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2008-07-02 |
| 1194889261 | Sequelcare of Oklahoma, LLC | Case Management | 103 N 3rd Ave, Durant, OK 74701-4700 | 2006-12-21 |
| 1639233703 | Sequelcare of Oklahoma, LLC | Clinic/Center | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2006-12-21 |
| 1891859963 | Sequelcare of Oklahoma, LLC | Case Management | 411 S Central Ave, Idabel, OK 74745-6059 | 2006-12-21 |
| 1508920679 | Sequelcare of Oklahoma, LLC | Case Management | 1907 N Broadway St, Poteau, OK 74953-2639 | 2006-12-21 |
| Street Address |
411 S CENTRAL AVE |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-6059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506254 | Kara Olfert | Social Worker | 411 S Central Ave, Idabel, OK 74745-6059 | 2020-10-19 |
| 1184197626 | Dayna Natasha Erickson | Health Educator | 411 S Central Ave, Idabel, OK 74745-6059 | 2019-01-08 |
| 1184109902 | Amber Clarice Bond | Health Educator | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-09-27 |
| 1134604945 | Kimberly Rose Battiest | Licensed Practical Nurse | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-09-27 |
| 1922583863 | Samantha Lynn Burke | Case Manager/Care Coordinator | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-09-26 |
| 1538653126 | Marisa Mullins | Case Manager/Care Coordinator | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-06-18 |
| 1871080424 | Ann Marie Treser-stephens | Counselor | 411 S Central Ave, Idabel, OK 74745-6059 | 2018-04-19 |
| 1871000877 | Tina Marie Clark | Peer Specialist | 411 S Central Ave, Idabel, OK 74745-6059 | 2017-12-29 |
| 1164947024 | Toya Robbins | Health Educator | 411 S Central Ave, Idabel, OK 74745-6059 | 2017-08-11 |
| 1407388259 | Emily Davis | Licensed Practical Nurse | 411 S Central Ave, Idabel, OK 74745-6059 | 2017-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235417643 | Magan Marie Willingham | Clinic/Center | 2100 Se Washington St, Idabel, OK 74745-5449 | 2011-08-02 |
| 1821189671 | The Mental Health Center, Inc | Clinic/Center | 17 S Central Ave, Idabel, OK 74745-4625 | 2006-09-27 |
| 1649780131 | Millennium Community Services, LLC | Clinic/Center | 503 S Central Ave, Idabel, OK 74745-6061 | 2017-10-10 |
| 1083778153 | Sequelcare of Oklahoma, LLC | Clinic/Center | 411 S Central Ave, Idabel, OK 74745-6059 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
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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.