BENJAMIN REX ALLISON (NPI# 1902132228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902132228 |
| Entity Type | Individual |
| Full Name | BENJAMIN REX ALLISON |
| Practice Address |
1115 Harbor Rd Grove OK 74344-3505 |
| Practice Telephone | 9187864434 |
| Practice Fax Number | 9187864435 |
| Mailing Telephone | 9187864434 |
| Mailing Fax Number | 9187864435 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2015-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 5814 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409305 | Benjamin White Allison | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2019-04-16 |
| 1740644129 | Benjamin J Allison | Case Manager/Care Coordinator | 221 E 29th St Ste 101, Loveland, CO 80538-2721 | 2016-04-11 |
| Street Address |
1115 HARBOR RD |
| City | GROVE |
| State | OK |
| Zip Code | 74344-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063429181 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 1115 Harbor Rd, Grove, OK 74344-3505 | 2006-08-02 |
| 1669084620 | Deanna M Duvall | Social Worker | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-08-20 |
| 1558979831 | Amber Rae Coker | Case Manager/Care Coordinator | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-07-22 |
| 1275157166 | Katharine Jean Downing | Case Manager/Care Coordinator | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-06-05 |
| 1205464997 | Kristen Bartz | Case Manager/Care Coordinator | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-03-30 |
| 1144853631 | Jennifer Elizabeth Bowerman | Peer Specialist | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-02-13 |
| 1427697747 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 1115 Harbor Rd, Grove, OK 74344-3505 | 2020-01-03 |
| 1598302572 | Shelbi Ann Brock | Case Manager/Care Coordinator | 1115 Harbor Rd, Grove, OK 74344-3505 | 2019-12-09 |
| 1447896907 | Jennifer Lynne Andrews | Registered Nurse | 1115 Harbor Rd, Grove, OK 74344-3505 | 2019-11-20 |
| 1497399331 | Steven Graham Shackelford | Case Manager/Care Coordinator | 1115 Harbor Rd, Grove, OK 74344-3505 | 2019-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604935 | Deborah Stauss | Massage Therapist | 2086 S Main St, Grove, OK 74344 | 2019-05-20 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1205329232 | Andra Renee Mitchell | Speech-Language Pathologist | 825 E Third Street, Grove, OK 74344 | 2018-06-13 |
| 1861996217 | Jenniffer Colleen Clark I | Case Manager/Care Coordinator | 1115 Har-ber Rd, Grove, OK 74344 | 2018-03-21 |
| 1417458167 | Jason S Beckham | Case Manager/Care Coordinator | 32600 S. 625 Road, Grove, OK 74344 | 2018-02-27 |
| 1659872034 | Keli Elaine Whitlock | Peer Specialist | 5602 Us Hwy 59, Grove, OK 74344 | 2018-02-22 |
| 1851899454 | Nichole Marie Wooton | Case Manager/Care Coordinator | 1115 Har-ber Road, Grove, OK 74344 | 2018-01-29 |
| 1043766645 | Samantha Lane | Speech-Language Pathologist | 1046 Hillside Road, Grove, OK 74344 | 2016-09-01 |
| 1376927509 | Matthew Kyle Allen | Physical Therapy Assistant | 4621 Hwy 59 N, Grove, OK 74344 | 2015-07-17 |
| 1477807428 | Andrew Scott Littlejohn | Physical Therapy Assistant | 103 Harber Road, Grove, OK 74344 | 2012-10-30 |
| Find all providers in zip 74344 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518498252 | Emily Paslay | Counselor | 29681 S 586th Ln, Grove, OK 74344-4453 | 2017-03-24 |
| 1548591241 | Kathie A Bergmann | Counselor | 905 E 3rd St, Grove, OK 74344-7949 | 2010-01-19 |
| 1205207453 | Maria A Cicio | Counselor | 1115 Harber Road, Grove, OK 74344-7918 | 2015-10-14 |
| 1477936748 | Patricia Major | Counselor | 1115 Harbor Rd, Grove, OK 74344-3505 | 2015-07-06 |
| 1477942035 | Jeffrey Wadsworth Howard | Counselor | 1115 Harbor Rd, Grove, OK 74344-3505 | 2015-01-20 |
| 1124368493 | Amber Marie Dey | Counselor | 905 E 3rd St, Grove, OK 74344-7949 | 2013-02-25 |
| 1598016412 | Shaina Elizabeth Coffee | Counselor | 905 E 3rd St, Grove, OK 74344-7949 | 2012-10-02 |
| 1881909075 | Casey Mae Vanmatre | Counselor | 1115 Harbor Rd, Grove, OK 74344-3505 | 2010-08-11 |
| 1902124639 | Tonya Robinson | Counselor | 1115 Harber Road, Grove, OK 74344 | 2010-05-05 |
| 1659602084 | Melissa Lynne Falley | Counselor | 905 E 3rd St, Grove, OK 74344-7949 | 2010-01-25 |
| Find all providers in GROVE | ||||
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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.