KATIE PENN (NPI# 1851669006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851669006 |
| Entity Type | Individual |
| Full Name | KATIE PENN |
| Practice Address |
120 S Treaty Rd Miami OK 74354-5326 |
| Mailing Address |
114 W Delaware Ave Nowata OK 74048-2601 |
| Practice Telephone | 9185401511 |
| Practice Fax Number | 9185427374 |
| Mailing Telephone | 9182731841 |
| Mailing Fax Number | 9182731843 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
120 S TREATY RD |
| City | MIAMI |
| State | OK |
| Zip Code | 74354-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306854245 | Grand Lake Mental Health Center, Inc. | Case Management | 120 S Treaty Rd, Miami, OK 74354-5326 | 2006-08-04 |
| 1164769071 | Kylie Fischer | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2013-01-11 |
| 1518204817 | Mellisa Barnes | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2013-01-08 |
| 1053658351 | Jennifer Shobe | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2013-01-08 |
| 1013253111 | Phillip Horn | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-12-17 |
| 1578809778 | Angela Bond | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-12-17 |
| 1194060699 | Christi Young | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-12-10 |
| 1427306349 | Melanie Terneus | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-08-27 |
| 1548516321 | Phillip John Shyers Jr. | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-07-30 |
| 1366797698 | Derek Stapleton | Counselor | 120 S Treaty Rd, Miami, OK 74354-5326 | 2012-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786603 | Coal Creek Counseling, LLC | Social Worker | 204 D St Ne, Miami, OK 74354 | 2017-05-10 |
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1982064226 | Yco Tulsa, Inc | Clinic/Center | 1519 E Steve Owens Blvd, Miami, OK 74354 | 2016-02-29 |
| 1548641285 | Courtney Marie Winfrey | Occupational Therapy Assistant | 310 2nd Ave Sw Fl 3, Miami, OK 74354 | 2015-06-17 |
| 1417338039 | Michelle Dawn Johnson | Case Manager/Care Coordinator | 1519 E. Steve Owens Blvd, Miami, OK 74354 | 2015-06-10 |
| 1790100337 | Jordan Taylor-threet | Speech-Language Pathologist | 2225 N. Main St., Miami, OK 74354 | 2014-02-19 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1144507534 | Julia Brown | Pharmacist | 11 West Central, Miami, OK 74354 | 2011-11-14 |
| 1841504685 | Dodie A Giles Keith | Counselor | 33 C Street Northeast, Miami, OK 74354 | 2010-08-04 |
| 1013221571 | Katherine Renee Burke | Counselor | 111 S. Treaty Rd., Miami, OK 74354 | 2010-07-27 |
| Find all providers in zip 74354 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700564 | Kristyn Delgado | Counselor | 8331 Sw 37th St, Miami, FL 33155-3305 | 2020-11-02 |
| 1164022737 | Natalia Azucena | Counselor | 10832 Sw 88th St Apt U7, Miami, FL 33176-1390 | 2020-10-31 |
| 1225638513 | Maria Emilia Espinal Fuchs | Counselor | 11434 Sw 152nd Ct, Miami, FL 33196-5215 | 2020-10-27 |
| 1083212427 | Jadira Lynette Fernandez | Counselor | 10035 Sw 80th Ter, Miami, FL 33173-4001 | 2020-10-16 |
| 1386243715 | Neelam Parmar | Counselor | 41 Se 5th St Apt 1404, Miami, FL 33131-2546 | 2020-10-16 |
| 1144837287 | Rico Counseling Corp | Counselor | 10689 Sw 88th St Ste 305, Miami, FL 33176-1525 | 2020-09-23 |
| 1386250892 | Teresa Zubizarreta | Counselor | 13253 Sw 110th Ter Apt 2, Miami, FL 33186-4394 | 2020-09-20 |
| 1255946307 | Camilla Tamargo | Counselor | 7396 Sw 53rd Pl, Miami, FL 33143-5823 | 2020-09-14 |
| 1417569500 | Isabel Galloso Diaz | Counselor | 15279 Sw 134th Ct Apt 1206, Miami, FL 33177-1181 | 2020-08-19 |
| 1821608605 | Adriana Loredo | Counselor | 2324 Sw 82nd Ct, Miami, FL 33155-1247 | 2020-08-05 |
| Find all providers in MIAMI | ||||
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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.