REBECCA MCCOLLUM (NPI# 1871032607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871032607 |
| Entity Type | Individual |
| Full Name | REBECCA MCCOLLUM |
| Practice Address |
507 Dewey Ave Poteau OK 74953-4215 |
| Practice Telephone | 9186490172 |
| Mailing Telephone | 9186490172 |
| Mailing Fax Number | 9186490315 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 000000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801926241 | Rebecca A Mccollum | Specialist/Technologist | 4825 Davis Ln Apt 322, Austin, TX 78749-4547 | 2007-03-06 |
| 1497166185 | Rebecca Mccollum | Pharmacist | 201 S 14th St, Herrin, IL 62948-3631 | 2014-05-15 |
| Street Address |
507 DEWEY AVE |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902233182 | Debra Bradberry | Behavioral Analyst | 507 Dewey Ave, Poteau, OK 74953-4215 | 2013-10-02 |
| 1811421373 | Brittany Waugh | Counselor | 507 Dewey Ave, Poteau, OK 74953-4215 | 2017-04-11 |
| 1669904165 | Jordan Wilburn | Counselor | 507 Dewey Ave, Poteau, OK 74953-4215 | 2017-04-03 |
| 1033659792 | Linzy Ann Wylie | Case Manager/Care Coordinator | 507 Dewey Ave, Poteau, OK 74953-4215 | 2017-02-28 |
| 1841730546 | Ashlee Taylor | Counselor | 507 Dewey Ave, Poteau, OK 74953-4215 | 2017-02-28 |
| 1588103014 | Nicole Aplara | Counselor | 507 Dewey Ave, Poteau, OK 74953-4215 | 2017-02-16 |
| 1013459668 | Kinsey Akers | Counselor | 507 Dewey Ave, Poteau, OK 74953-4215 | 2016-11-14 |
| 1902354434 | Tanna King | Case Manager/Care Coordinator | 507 Dewey Ave, Poteau, OK 74953-4215 | 2016-09-13 |
| 1962958983 | Penelope Jane Adams | Case Manager/Care Coordinator | 507 Dewey Ave, Poteau, OK 74953-4215 | 2016-08-30 |
| 1427403823 | Thelena Scott | Counselor | 507 Dewey Ave, Poteau, OK 74953 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467850875 | Healthcare Unlimited, LLC | Clinic/Center | 501 Dewey Ave, Poteau, OK 74953-4215 | 2014-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499401 | Julia Jones, Lpc, Pllc | Clinic/Center | 2000 E 15th St Ste 400, Edmond, OK 73013-6697 | 2020-02-19 |
| 1285273920 | Psychiatric Wellness Aprn-cnp Pllc | Clinic/Center | 600 W Boeing Dr Ste D, Midwest City, OK 73110-3035 | 2019-12-28 |
| 1750942074 | Current Intervention Family Therapy Services | Clinic/Center | 2223 N Main St, Miami, OK 74354-1620 | 2019-06-26 |
| 1609431790 | New View Therapy | Clinic/Center | 3113 24th Ave Se, Norman, OK 73071-1742 | 2019-05-05 |
| 1932665841 | Flow Counseling Services | Clinic/Center | 6130 E 32nd St Ste 104, Tulsa, OK 74135-5454 | 2019-02-15 |
| 1427551860 | Bold Hearts and Sound Minds LLC | Clinic/Center | 1601 S State St Ste 375, Edmond, OK 73013-3626 | 2018-03-12 |
| 1427557891 | G Parks Phd Pllc | Clinic/Center | 6608 N Western Ave # 453, Oklahoma City, OK 73116-7326 | 2018-02-12 |
| 1578061578 | Life Mind, Pllc | Clinic/Center | 2624 E 22nd Pl, Tulsa, OK 74114-3131 | 2018-01-25 |
| 1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
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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.