LANDMARK RECOVERY OUTPATIENT SERVICES, LLC (NPI# 1821562919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821562919 |
| Entity Type | Organization |
| Organization Name | LANDMARK RECOVERY OUTPATIENT SERVICES, LLC |
| Practice Address |
4825 Nw 23rd St Oklahoma City OK 73127-1800 |
| Mailing Address |
4835 E Cactus Rd Ste 130 Scottsdale AZ 85254-3545 |
| Practice Telephone | 8884480302 |
| Mailing Telephone | 8884480302 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | JESSICA PROCHUT (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4806198556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Landmark Recovery of Oklahoma City Outpatient Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194297341 | Landmark Recovery Outpatient Services, LLC | Clinic/Center | 1805 E 15th St, Tulsa, OK 74104-4610 | 2018-12-28 |
| Street Address |
4825 NW 23RD ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73127-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083815856 | Windsor Manor Assisted Living | Assisted Living Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2007-05-30 |
| 1811515687 | Adrian Nicole Mason | Peer Specialist | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2020-07-08 |
| 1780215806 | Giovanni A Flamminio | Peer Specialist | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2020-01-28 |
| 1073154662 | Landmark Recovery of Oklahoma City Ops LLC | Substance Abuse Rehabilitation Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-10-04 |
| 1013564319 | Landmark Recovery of Oklahoma City, LLC | Substance Abuse Rehabilitation Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-08-21 |
| 1992279756 | Alec Peterson | Peer Specialist | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-01-15 |
| 1366916132 | Katherine Connell | Counselor | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-01-15 |
| 1952874455 | Jordyn Ashlee-nicole Richardson | Peer Specialist | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2019-01-07 |
| 1154893642 | Scott Arthur Curtis | Peer Specialist | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2018-12-20 |
| 1427529361 | Payton Brown | Peer Specialist | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598176711 | We Care LLC | Respite Care | 5400 Nw 23rd Street, Suite 100, Oklahoma City, OK 73127 | 2014-05-09 |
| 1437494655 | Dr. Yong H. Kim, Psyd, Professional Limited Company | Psychologist | 8101 Nw 10th, Oklahoma City, OK 73127 | 2012-11-28 |
| 1952652836 | Kevin Kent Shelton Sr. | Behavioral Analyst | 2120 East Harlow Place, Oklahoma City, OK 73127 | 2012-10-02 |
| 1548537962 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 6620 Melrose Ln., Oklahoma City, OK 73127 | 2011-11-30 |
| 1326370065 | Karen Lou Gault | Counselor | 7201 N. W. 10th, Okc, OK 73127 | 2010-02-05 |
| 1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
| 1306068432 | Emerald Square Assisted Living, LLC | Assisted Living Facility | 701 North Council Road, Oklahoma City, OK 73127 | 2007-05-02 |
| 1447377585 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 6101 West Reno, Suite 800, Oklahoma City, OK 73127 | 2007-03-23 |
| 1811021165 | Carmellia Marie Hamilton | Registered Nurse | 4913 W. Reno, Oklahoma City, OK 73127 | 2007-03-16 |
| 1447345178 | Tim Guinn | Pharmacist | 4911 N.w. 23rd Street, Oklahoma City, OK 73127 | 2006-10-04 |
| Find all providers in zip 73127 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801375324 | Hope Restored Counseling LLC | Clinic/Center | 1211 N Shartel Ave Ste 602, Oklahoma City, OK 73103-2445 | 2018-08-07 |
| 1518223502 | Rohit Gautam | Clinic/Center | 9205 S Shartel Ave Apt 201, Oklahoma City, OK 73139-5214 | 2012-04-04 |
| 1629268404 | Hope Counseling Services, Inc | Clinic/Center | 4411 Highline Blvd, Suite 204, Oklahoma City, OK 73108-1865 | 2007-07-27 |
| 1164903225 | Megan Rowe LLC | Clinic/Center | 3033 Nw 63rd St Ste 160e, Oklahoma City, OK 73116-3607 | 2018-08-27 |
| 1063939247 | Just A Step Counseling, Pllc | Clinic/Center | 10400 Vineyard Blvd Ste A, Oklahoma City, OK 73120-3830 | 2017-08-28 |
| 1639699267 | Lasting Change Therapy LLC | Clinic/Center | 10317 Greenbriar Pl Ste 400, Oklahoma City, OK 73159-7651 | 2017-06-24 |
| 1619418902 | Oklahoma Mental Health Council | Clinic/Center | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2017-03-20 |
| 1013462589 | Dynamic Communications Counseling Agency | Clinic/Center | 10325 Greenbriar Pl Ste B, Oklahoma City, OK 73159-7647 | 2016-08-24 |
| 1497117725 | Million Counseling and Professional Development, Pllc | Clinic/Center | 4900 Richmond Sq Ste 107, Oklahoma City, OK 73118-2043 | 2016-03-25 |
| 1194108415 | Jennifer Kavanaugh Lcsw LLC | Clinic/Center | 3035 Nw 63rd St, Suite 200, Oklahoma City, OK 73116-3632 | 2015-07-06 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73127 |
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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.