GREGORY NATHAN MELANCON (NPI# 1760873335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760873335 |
| Entity Type | Individual |
| Full Name | GREGORY NATHAN MELANCON |
| Practice Address |
111 S Main St Mcalester OK 74501-5303 |
| Practice Telephone | 9184235204 |
| Mailing Telephone | 9184235204 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200305190B | 05 |
| Street Address |
111 S MAIN ST |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565831 | Patricia Faye Williams | Community/Behavioral Health | 111 S Main St, Mcalester, OK 74501-5303 | 2015-04-14 |
| 1316369093 | John Christian Cassell | Case Management | 111 S Main St, Mcalester, OK 74501-5303 | 2014-01-14 |
| 1790114650 | Center4change | Social Worker | 111 S Main St, Mcalester, OK 74501-5303 | 2013-11-01 |
| 1760827281 | Brenda S. Gann | Case Management | 111 S Main St, Mcalester, OK 74501-5363 | 2013-05-10 |
| 1053652636 | Bessie Ott | Health Maintenance Organization | 111 S Main St, Mcalester, OK 74501-5363 | 2013-03-07 |
| 1679813349 | Karen Williams | Counselor | 111 S Main St, Mcalester, OK 74501-5303 | 2013-02-18 |
| 1932445616 | Center 4 Change, LLC | Case Management | 111 S Main St, Mcalester, OK 74501-5363 | 2012-12-27 |
| 1073876173 | Kami Runyon | Community Based Residential Treatment Facility, Mental Illness | 111 S Main St, Mcalester, OK 74501-5363 | 2012-06-22 |
| 1134488737 | Janet Daniel | Case Manager/Care Coordinator | 111 S Main St, Mcalester, OK 74501-5363 | 2012-05-16 |
| 1427317072 | Sonja Dejacimo | Community/Behavioral Health | 111 S Main St, Mcalester, OK 74501-5363 | 2012-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| 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 |
|---|---|---|---|---|
| 1851777627 | Andrea Faye Reid | Counselor | 1100 E Washington Ave, Mcalester, OK 74501-4920 | 2015-08-04 |
| 1467859157 | Brian Edward Peoples | Counselor | 206 E Seminole Ave, Mcalester, OK 74501-5856 | 2014-11-25 |
| 1235531112 | Ashley L Brown | Counselor | 1211 E Reynolds Rd, Mcalester, OK 74501-7153 | 2014-09-22 |
| 1427304229 | Sonya J. Fry | Counselor | 721 South George Nigh Expressway, Mcalester, OK 74501 | 2012-07-30 |
| 1194095364 | Felicia Renee Pearce | Counselor | 1602 N D St, Mcalester, OK 74501-2314 | 2012-01-05 |
| 1285919944 | Lesa King | Counselor | 1306 E Carl Albert Pkwy, Mcalester, OK 74501-5130 | 2011-10-13 |
| 1790004026 | Stephaine Lynn Vernor | Counselor | 704 W Carl Albert Pkwy Unit 8, Mcalester, OK 74501-4465 | 2010-05-26 |
| 1851610596 | Camille Cappo Lalli | Counselor | 1710 Louise Dr, Mcalester, OK 74501-7032 | 2010-05-20 |
| 1235457383 | Abbey Leigh Fowler | Counselor | 1103 Fleming Ave Apt 1, Mcalester, OK 74501-3207 | 2010-05-13 |
| 1356672422 | Deana Laverne Pilgrim | Counselor | 4460 Mcalester Lake Rd, Mcalester, OK 74501-8888 | 2010-01-28 |
| Find all providers in MCALESTER | ||||
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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.