PRIMARY THERAPEUTIC SERVICES, LLC (NPI# 1770929960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770929960 |
| Entity Type | Organization |
| Organization Name | PRIMARY THERAPEUTIC SERVICES, LLC |
| Practice Address |
3140 W Britton Rd Ste 201 Oklahoma City OK 73120 |
| Mailing Address |
3140 W Britton Rd Ste 201 Oklahoma City OK 73120-2039 |
| Practice Telephone | 4056076292 |
| Practice Fax Number | 4056076307 |
| Mailing Telephone | 4056076292 |
| Mailing Fax Number | 4056076307 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | MR. CHANNING LEE CHAMBERLAIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4054135121 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6005 | OK | Agencies |
| Street Address |
3140 W BRITTON RD STE 201 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457674707 | Vilman Andre | Marriage & Family Therapist | 3140 W Britton Rd Ste 201, Oklahoma City, OK 73120-2039 | 2010-03-01 |
| 1740800259 | Tammy June Keeler | Counselor | 3140 W Britton Rd Ste 201, Oklahoma City, OK 73120-2039 | 2020-04-24 |
| 1487296182 | Sandra K Haynes | Counselor | 3140 W Britton Rd Ste 201, Oklahoma City, OK 73120-2039 | 2019-10-14 |
| 1881245769 | Sara Khashayari | Counselor | 3140 W Britton Rd Ste 201, Oklahoma City, OK 73120-2039 | 2019-09-23 |
| 1427517754 | Lisa Dover | Counselor | 3140 W Britton Rd Ste 201, Oklahoma City, OK 73120-2039 | 2019-03-16 |
| 1497226880 | Erin Jackson | Counselor | 3140 W Britton Rd Ste 201, Oklahoma City, OK 73120 | 2018-12-10 |
| 1154802254 | Rolicia Danae Mckinnon | Counselor | 3140 W Britton Rd Ste 201, Oklahoma City, OK 73120-2039 | 2018-08-27 |
| 1225307176 | Channing Lee Chamberlain | Counselor | 3140 W Britton Rd Ste 201, Oklahoma City, OK 73120 | 2011-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1679122287 | New Therapeutic Environment LLC | Community/Behavioral Health | 4301 Nw 63rd St Ste 307, Oklahoma City, OK 73116-1504 | 2019-09-06 |
| 1447808944 | Noahs Ark Aba and Autism Services | Community/Behavioral Health | 14413 S Robinson Ave, Oklahoma City, OK 73170-7233 | 2019-08-28 |
| 1477011195 | Perceptive Counseling Pllc | Community/Behavioral Health | Perceptive Counseling Pllc, 6900 N Classen Blvd, Oklahoma City, OK 73116-7210 | 2019-03-12 |
| 1225594542 | Life Solutions Counseling Agency LLC | Community/Behavioral Health | 6003 N Robinson Ave Ste 102, Oklahoma City, OK 73118-7425 | 2019-02-11 |
| 1083182299 | North Oklahoma County Mental Health Center | Community/Behavioral Health | 4021 S Walker Ave, Oklahoma City, OK 73109-6972 | 2018-11-06 |
| 1649754946 | Kidventures, LLC | Community/Behavioral Health | 1601 Sw 89th St Ste B100, Oklahoma City, OK 73159-6357 | 2018-09-21 |
| 1245710136 | Nexus Solutions for Autism of Oklahoma LLC | Community/Behavioral Health | 405 Nw 30th St, Oklahoma City, OK 73118-8606 | 2018-08-20 |
| 1255854725 | Mission Treatment Centers, Inc. | Community/Behavioral Health | 948 W Hefner Rd, Oklahoma City, OK 73114-6927 | 2017-07-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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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.