MRS. STACIE BROCKHOFF (NPI# 1831415934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831415934 |
Entity Type | Individual |
Full Name | MRS. STACIE BROCKHOFF |
Credential | B.H.R.S. |
Practice Address |
314 S Broadway Ave Suite 106 Ada OK 74820-5828 |
Mailing Address |
Po Box 662 Purcell OK 73080-0662 |
Practice Telephone | 5802350210 |
Practice Fax Number | 5802350211 |
Mailing Telephone | 4055271785 |
Mailing Fax Number | 4055271084 |
Enumeration Date | 2010-04-14 |
Last Update Date | 2011-03-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100746700C | 05 |
Street Address |
314 S BROADWAY AVE SUITE 106 |
City | ADA |
State | OK |
Zip Code | 74820-5828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871795401 | Stephanie Leonda Seamster | Counselor | 314 S Broadway Ave, Ada, OK 74820-5828 | 2007-06-05 |
1598261521 | Anna Wiles | Counselor | 314 S Broadway Ave, Ada, OK 74820-5828 | 2018-03-30 |
1295193100 | Dennis Shenenberger | Counselor | 314 S Broadway Ave, Ste. 106, Ada, OK 74820-5828 | 2016-02-05 |
1366836249 | Yco Tulsa, Inc. | Clinic/Center | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2015-03-27 |
1548650310 | Lacie Rammage | Case Manager/Care Coordinator | 314 S Broadway Ave, Ste. 106, Ada, OK 74820-5828 | 2015-01-30 |
1487077863 | Katherine Daniels | Case Manager/Care Coordinator | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2014-01-21 |
1790025310 | Tiffany Addington | Rehabilitation Counselor | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2013-02-19 |
1902153117 | Ruthie Lamb | Rehabilitation Counselor | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2012-08-07 |
1194098699 | Misti Hatton | Rehabilitation Counselor | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2012-02-14 |
1720391105 | Kathy Attebery | Counselor | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2010-07-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
Find all providers in zip 74820 |
Taxonomy Code | 225C00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Counselor |
An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
1790025310 | Tiffany Addington | Rehabilitation Counselor | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2013-02-19 |
1902153117 | Ruthie Lamb | Rehabilitation Counselor | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2012-08-07 |
1235484254 | Shannon L Hill | Rehabilitation Counselor | 1705 Cradduck Rd, Ada, OK 74820-9491 | 2012-07-16 |
1194098699 | Misti Hatton | Rehabilitation Counselor | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2012-02-14 |
1316227275 | Felton Chile Madume | Rehabilitation Counselor | 1705 Cradduck Rd, Ada, OK 74820-9491 | 2011-08-24 |
1497041420 | Carla J Buske | Rehabilitation Counselor | 1705 Cradduck Rd, Ada, OK 74820-9491 | 2011-06-28 |
1336435361 | Laura L Steele | Rehabilitation Counselor | 1705 Cradduck Rd, Ada, OK 74820-9491 | 2011-06-28 |
1669798765 | Renee Foulks | Rehabilitation Counselor | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2010-04-14 |
1740506849 | Alicia Crew | Rehabilitation Counselor | 314 S Broadway Ave, Suite 106, Ada, OK 74820-5828 | 2010-04-14 |
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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.